Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 17914 | |
N | 101YM0800X | Mental Health Counselor | 22868 | |
N | 101YP2500X | Professional Counselor | 180.008854 | IL |
Y | 101YP2500X | Professional Counselor | 6401000417 | MI |
N | 101YP2500X | Professional Counselor | 976 | CA |
N | 101YP2500X | Professional Counselor | CP0164 | NV |
N | 103TC1900X | Counseling Psychologist | ||
N | 1041C0700X | Clinical Social Worker | 34002388A | IN |
N | 175F00000X | Naturopath | ||
N | 175L00000X | Homeopath |
NPI | 1932315447 |
---|---|
Provider Name | Dr. Victoria Doree Coleman |
First Address | Las Vegas, NV 89117-7528 |
Second Address | Las Vegas, NV 89117-7528 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 12/12/2016 |