Individual provider · Type 1 NPI

Ted Coleman, PhD, MS

Professional Counselor · Upland, CA

NPI number 1609513571 Active

Practice location

2377 W Foothill Blvd Ste 11
Upland, CA 91786-3584

Fax (909) 204-2227

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X10896 (CA)

Professional Counselor: Definition to come...

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About NPI 1609513571

Ted Coleman, PhD, MS's National Provider Identifier is 1609513571, issued on May 12, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Upland, CA. The record was last updated on May 12, 2022.