JACK COLEMAN

LONG BEACH, CA
NPI1114146156
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-04-25
Last Update Date2007-07-08
Business Address
-- JACK COLEMAN
944 PACIFIC AVE
LONG BEACH, CA 90813-4228
Phone number: 562-436-3533
Mailing Address
-- JACK COLEMAN
944 PACIFIC AVE
LONG BEACH, CA 90813-4228
Phone number:
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