Mica Coleman, LPC

NPI #1427656859 in Matteson, Illinois

Provider Information

NPI Number: 1427656859
Entity Type: Individual
Name: Mica Coleman, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Oct 16, 2020
Last Updated: Oct 16, 2020

Practice Location

Address: 5800 ALLEMONG DR
City: Matteson
State: Illinois
ZIP Code: 60443-1108
Phone: (708) 674-9417

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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