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NPI Code Detail

MEDICARE: MS. JAMILA LYNN COLEMAN

MEDICARE: MS. JAMILA LYNN 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
1101YM0800XMental Health Counselor
2171M00000XCase Manager/Care Coordinator
3101Y00000XCounselorCG60172322WA

General Provider Information

NPI Number : 1235400110
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JAMILA LYNN COLEMAN
Provider Business Mailing Address
First Line : 2200 RAINIER AVE S STE 201
Second Line :
City : SEATTLE
State : WA
Zip : 98144-4642
Country : US
Telephone Number : 206-417-9904
Fax Number :
Provider Business Practice Location Address
First Line : 2200 RAINIER AVE S STE 201
Second Line :
City : SEATTLE
State : WA
Zip : 98144-4642
Country : US
Telephone Number : 206-417-9904
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2012
Last Update Date : 09/06/2021

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