Elizabeth Coleman, Intern, QMHP
Counselor in Pendleton, OR. Individual provider (NPI-1).
NPI number1962044909
StatusActive
Last updated in NPPESOct 10, 2019
Details
- NPI
- 1962044909
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Coleman
- Credential
- Intern, QMHP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2019
- Last updated
- Oct 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
331 Se 2nd StPendleton, OR 97801-2224
Phone 541-276-6207 · Fax 541-276-4628
Mailing address
702 Sunset DrOntario, OR 97914-3121
Phone 541-889-9167 · Fax 541-889-7873
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