BRANDON W COLEMAN

PHOENIX, AZ
NPI1780078493
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-15030)
Enumeration Date2015-03-20
Last Update Date2015-03-20
Business Address
-- BRANDON W COLEMAN LISAC
1802 E THOMAS RD
PHOENIX, AZ 85016-8134
Phone number: 602-302-7812
Mailing Address
-- BRANDON W COLEMAN LISAC
3003 N CENTRAL AVE STE 200
PHOENIX, AZ 85012-2914
Phone number: 602-685-6000
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