PHYLLIS COLEMAN

PRESTONSBURG, KY
NPI1811254220
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  165749)
Enumeration Date2012-04-23
Last Update Date2016-09-06
Business Address
-- PHYLLIS COLEMAN LCADC
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
Mailing Address
-- PHYLLIS COLEMAN LCADC
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572