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1194114652
MICHAEL COLEMAN
SAN RAFAEL, CA
NPI
1194114652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 251500000x)
Enumeration Date
2015-01-21
Last Update Date
2015-01-21
Business Address
-- MICHAEL COLEMAN CADCII CCJP
171 CARLOS DR
SAN RAFAEL, CA 94903-2005
Phone number: 415-444-5580
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Mailing Address
-- MICHAEL COLEMAN CADCII CCJP
171 CARLOS DR
SAN RAFAEL, CA 94903-2005
Phone number: 415-444-5580
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