Provider Demographics
NPI:1780997452
Name:COLEMAN, ANNETTE LYNN (MA, LPC)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:LYNN
Last Name:COLEMAN
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Gender:F
Credentials:MA, LPC
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Other - First Name:
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Mailing Address - Street 1:126 W D ST STE 220C
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81003-4426
Mailing Address - Country:US
Mailing Address - Phone:719-821-0688
Mailing Address - Fax:855-775-0361
Practice Address - Street 1:126 W D ST STE 220C
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003-4426
Practice Address - Country:US
Practice Address - Phone:719-821-0688
Practice Address - Fax:855-775-0361
Is Sole Proprietor?:No
Enumeration Date:2010-07-22
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health