Daryan Coleman

NPI #1043607880 in La Grange Park, Illinois

Provider Information

NPI Number: 1043607880
Entity Type: Individual
Name: Daryan Coleman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Apr 20, 2015
Last Updated: Apr 20, 2015

Practice Location

Address: 333 N LA GRANGE RD STE 1
City: La Grange Park
State: Illinois
ZIP Code: 60526-5653
Phone: (708) 698-5090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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