Individual provider · Type 1 NPI

Wallace Coleman

Mental Health Counselor · Albany, GA

NPI number 1669941035 Active

Practice location

2403 Osler Court, Suite B
Albany, GA 31707

Call (229) 639-3135 Map

Mailing address

204 N Westover Blvd
Albany, GA 31707-2983

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XLPC010234 (GA)
Mental Health Counselor Primary 101YM0800XLPC010234 (GA)

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About NPI 1669941035

Wallace Coleman's National Provider Identifier is 1669941035, issued on Nov 15, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Albany, GA. The record was last updated on Nov 21, 2023.