Individual provider · Type 1 NPI
Kanesha Elayne Coleman, LCAS
Addiction (Substance Use Disorder) Counselor · Winston Salem, NC
NPI number
1386779825
Active
Practice location
930 N Patterson Ave
Winston Salem, NC 27101-1546
Fax (336) 722-5834
Mailing address
180 Vista Ct Apt B
Winston Salem, NC 27106-1967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2029 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1386779825
Kanesha Elayne Coleman, LCAS's National Provider Identifier is 1386779825, issued on Feb 23, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Winston Salem, NC. The record was last updated on May 15, 2012.