Mr. Richard Ira Coleman
Addiction Counselor (Substance Use Disorder)
20 Community Ln
Liberty
, New York 12754-2851
Mr. Richard Ira Coleman
Addiction Counselor (Substance Use Disorder)
20 Community Ln
Liberty
, New York 12754-2851
(845) 292-4206
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Mr. Richard Ira Coleman
- Po Box 716
- Liberty, NY
- Zip : 12754-0716
- Fax : (845) 292-4206
- Phone : (845) 292-8770
Second Address
- Mr. Richard Ira Coleman
- 20 Community Ln
- Liberty, NY
- Zip : 12754-2851
- Fax : (845) 292-4206
- Phone : (845) 292-8770
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
National Provider Identifier
| NPI | 1003097981 |
|---|---|
| Provider Name | Mr. Richard Ira Coleman |
| First Address | Liberty, NY 12754-0716 |
| Second Address | Liberty, NY 12754-2851 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/11/2007 |
| Last Update Date | 19/11/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.