BRADFORD COLEMAN

VALDOSTA, GA
NPI1104241975
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  LPC010091)
Enumeration Date2014-03-03
Last Update Date2019-07-09
Business Address
BRADFORD COLEMAN
1805 GREEN CIR
VALDOSTA, GA 31602-2734
Phone number: 229-415-7621
Mailing Address
BRADFORD COLEMAN
1805 GREEN CIR
VALDOSTA, GA 31602-2734
Phone number: 229-415-7621