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Blaine Coleman
Counselor in Philadelphia, Pennsylvania
NPI 1326207465

Blaine Coleman is a Counselor based in Philadelphia, PA. Blaine Coleman practices in Philadelphia, PA. The NPI Number for Blaine Coleman is 1326207465 and holds a License No. (Pennsylvania).

The current practice location address for Blaine Coleman is 1401 S 4Th St, Philadelphia, PA and can be reached out via phone at 215-339-1070.

Location: 1401 S 4Th St, Philadelphia, PA, 19123-4004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326207465
Provider Name
Blaine Coleman
Credential
Provider Entity Type
Individual
Gender
Male
Address
1401 S 4Th St, Philadelphia, PA, 19123-4004
Phone Number
215-339-1070
Fax Number
Provider Enumeration Date
06/04/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1401 S 4Th St
City
Philadelphia
State
Pennsylvania
Zip
19147-5907
Phone Number
215-339-1070
Fax Number
person
Provider Business Mailing Address Details
Address
1401 S 4Th St
City
Philadelphia
State
Pennsylvania
Zip
19147-5907
Phone Number
215-339-1070
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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