Provider Demographics
NPI:1154475929
Name:COLEMAN, VELIA JO (LPC, RN)
Entity Type:Individual
Prefix:MS
First Name:VELIA
Middle Name:JO
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:LPC, RN
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Mailing Address - Street 1:6042 OSLO BAY
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-1363
Mailing Address - Country:US
Mailing Address - Phone:801-262-2400
Mailing Address - Fax:801-262-9991
Practice Address - Street 1:151 E 5600 S
Practice Address - Street 2:# 204
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-6181
Practice Address - Country:US
Practice Address - Phone:801-262-2400
Practice Address - Fax:801-262-9991
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-10-19
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health