Individual provider · Type 1 NPI

Johnathan Coleman, ACSW

Mental Health Counselor · Redding, CA

NPI number 1730853862 Active

Practice location

2640 Breslauer Way
Redding, CA 96001-4246

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X101332 (CA)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1730853862

Johnathan Coleman, ACSW's National Provider Identifier is 1730853862, issued on Aug 3, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Redding, CA. The record was last updated on Oct 13, 2021.