Charles T Coleman, MA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Newton, IL
NPI 1508093535 · NPPES record last updated Sep 6, 2012
Key facts
- NPI
- 1508093535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 106 Edwards St
Newton, IL 62448-1736 - Phone
- (618) 783-4154
- Fax
- (217) 783-2339
- NPI assigned
- Jun 17, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes | ||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
106 Edwards St
Newton, IL 62448-1736
Mailing address
106 Edwards St
Newton, IL 62448-1736
Phone (618) 783-4154
Other providers in Newton, IL
- Debra Darlene Cantrell
- Champion Fitness, Inc
- Caitlin Chapman
- Kierstin Clark
- Haylee Ann Cohorst
- Matthew A Cooley
- County of Jasper
- County of Jasper
- County of Jasper
- Crawford Hospital District
All providers in Newton, IL · Addiction (Substance Use Disorder) Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.