Provider Demographics
NPI:1245778539
Name:COELLO, ANNA CHERISE (MA)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:CHERISE
Last Name:COELLO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2482 NATURE VIEW DRIVE
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:IN
Mailing Address - Zip Code:46582
Mailing Address - Country:US
Mailing Address - Phone:720-688-5429
Mailing Address - Fax:
Practice Address - Street 1:225 N. MAIN ST.
Practice Address - Street 2:UNIT 5
Practice Address - City:NORTH WEBSTER
Practice Address - State:IN
Practice Address - Zip Code:46555
Practice Address - Country:US
Practice Address - Phone:574-834-1393
Practice Address - Fax:574-834-1205
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health