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NPI Code Detail

MEDICARE: CLARISSA COLEMAN MA, LPC

MEDICARE:   CLARISSA  COLEMAN  MA, LPC
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
1101YP2500XProfessional Counselor2116WV

General Provider Information

NPI Number : 1609286111
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARISSA COLEMAN MA, LPC
Provider Business Mailing Address
First Line : 911 EMERSON AVE
Second Line :
City : PARKERSBURG
State : WV
Zip : 26104-2526
Country : US
Telephone Number : 304-865-5444
Fax Number : 304-865-5445
Provider Business Practice Location Address
First Line : 911 EMERSON AVE
Second Line :
City : PARKERSBURG
State : WV
Zip : 26104-2526
Country : US
Telephone Number : 304-865-5444
Fax Number : 304-865-5445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2014
Last Update Date : 07/21/2025

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Directions to “ CLARISSA COLEMAN MA, LPC” Practice Location

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