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Amanda Nichole Coleman
Peer Specialist in Longview, Washington
NPI 1508582321

Amanda Nichole Coleman is a Peer Specialist based in Longview, WA. Amanda Nichole Coleman practices in Longview, WA. The NPI Number for Amanda Nichole Coleman is 1508582321 and holds a License No. (Washington).

The current practice location address for Amanda Nichole Coleman is 720 14Th Ave, Longview, WA and can be reached out via phone at 360-423-0203 and via fax at 360-577-0187.

Location: 720 14Th Ave, Longview, WA, 98632-8140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508582321
Provider Name
Amanda Nichole Coleman
Credential
Provider Entity Type
Individual
Gender
Female
Address
720 14Th Ave, Longview, WA, 98632-8140
Phone Number
360-423-0203
Fax Number
360-577-0187
Provider Enumeration Date
10/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
720 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-423-0203
Fax Number
360-577-0187
person
Provider Business Mailing Address Details
Address
720 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-423-0203
Fax Number
360-577-0187
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Washington)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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