Mr Christopher J Coleman, LPC, CSAC, MAC, CCDP | |
192543 Rogers Clark Boulevard, Ruther Glen, VA 22546-3454 | |
(804) 633-9997 | |
Not Available |
Full Name | Mr Christopher J Coleman |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 192543 Rogers Clark Boulevard, Ruther Glen, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1144778614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 0701006732 (Virginia) | Primary |
Entity Name | Youth For Tomorrow New Life Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316118292 PECOS PAC ID: 1951673227 Enrollment ID: O20170822000018 |
Mailing Address | Practice Location Address |
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Mr Christopher J Coleman, LPC, CSAC, MAC, CCDP 9633 Landcastle Dr, Ashland, VA 23005-7874 Ph: () - | Mr Christopher J Coleman, LPC, CSAC, MAC, CCDP 192543 Rogers Clark Boulevard, Ruther Glen, VA 22546-3454 Ph: (804) 633-9997 |
Mrs. Daijah Golden, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 23, Ruther Glen, VA 22546 Phone: 804-238-4099 | |
Antonio O'neil Clinkscales, Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 Surrey Dr, Ruther Glen, VA 22546 Phone: 804-994-7998 | |
Elena Mercedes Morales, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7235 Parchment Cir, Ruther Glen, VA 22546 Phone: 540-841-1170 | |
Kristen Marie King, CSAC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 5322 Ladysmith Rd, Ruther Glen, VA 22546 Phone: 888-887-6867 | |
Xenia Scullark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 327 Powder Horn Dr, Ruther Glen, VA 22546 Phone: 240-818-5957 |