MR. BRENT ROBERT COLEMAN M.A.
NPI 1144436718
Counselor - Professional in San Rafael, CA
- Individual
- Male
- Counselor
- Professional
About BRENT COLEMAN
This page provides the complete NPI Profile along with additional information for Brent Coleman, a provider established in San Rafael, California with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1144436718 assigned on May 2007. The practitioner's primary taxonomy code is 101YP2500X with license number 2355 (CA). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1144436718 Verify this NPI
- Provider Name
- MR. BRENT ROBERT COLEMAN M.A.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 130 ALTENA ST SAN RAFAEL, CA 94901
- Location Phone
- (720) 341-8985
- Mailing Address
- 130 ALTENA ST SAN RAFAEL, CA 94901
- Mailing Phone
- (720) 341-8985
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-14-2007
- Last Update Date
- 02-12-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 2355
- License State
- CA
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144436718, enumerated as an "individual" on May 14, 2007.
The provider is located at 130 ALTENA ST SAN RAFAEL, CA 94901 and the phone number is (720) 341-8985.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
