Individual provider · Type 1 NPI

Michael Coleman, CADCII CCJP

Addiction (Substance Use Disorder) Counselor · San Rafael, CA

NPI number 1194114652 Active

Practice location

171 Carlos Dr
San Rafael, CA 94903-2005

Call (415) 444-5580 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X251500000X (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1194114652

Michael Coleman, CADCII CCJP's National Provider Identifier is 1194114652, issued on Jan 21, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Rafael, CA. The record was last updated on Jan 21, 2015.