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NPI Code Detail

MEDICARE: KYMBRIA WILLIAMS-COLEMAN

MEDICARE: KYMBRIA WILLIAMS-COLEMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1134736036
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYMBRIA WILLIAMS-COLEMAN
Provider Business Mailing Address
First Line : 902 GALLIA ST
Second Line :
City : PORTSMOUTH
State : OH
Zip : 45662-4139
Country : US
Telephone Number : 606-240-3837
Fax Number :
Provider Business Practice Location Address
First Line : 9 CHESAPEAKE PLZ
Second Line :
City : CHESAPEAKE
State : OH
Zip : 45619-1003
Country : US
Telephone Number : 740-357-8615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2020
Last Update Date : 10/18/2024

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Directions to “ KYMBRIA WILLIAMS-COLEMAN ” Practice Location

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