KANESHA ELAYNE COLEMAN

WINSTON SALEM, NC
NPI1386779825
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  2029)
Enumeration Date2007-02-23
Last Update Date2012-05-15
Business Address
-- KANESHA ELAYNE COLEMAN LCAS
930 N PATTERSON AVE
WINSTON SALEM, NC 27101-1546
Phone number: 336-722-9951
Mailing Address
-- KANESHA ELAYNE COLEMAN LCAS
180 VISTA CT APT B
WINSTON SALEM, NC 27106-1967
Phone number: