JEAN CARLOS CORONADO

PRINCETON, WV
NPI1518612332
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2022-02-21
Last Update Date2022-02-21
Business Address
JEAN CARLOS CORONADO BA
508 NEW HOPE RD STE 208
PRINCETON, WV 24740-2271
Phone number: 304-887-4799
Mailing Address
JEAN CARLOS CORONADO BA
308 CAHILL DR
PRINCETON, WV 24740-3971
Phone number: 201-741-6928
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