Coleman, Gina Rose

Coleman, Gina Rose is an sole proprietor health care provider with primary practice located at 510 N Virginia Ave , Glenwood IL 60425-1021. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor is her primary health care specialty. Coleman, Gina Rose can be contacted via phone (708) 212-0056.

Contact Information

Primary practice address
510 N Virginia Ave Glenwood IL 60425-1021
Phone: (708) 212-0056
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180014627 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.015298 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X 373285 Illinois

Profile Details

NPI number 1467197129
LBN Legal business name Coleman, Gina Rose
Credentials LCPC, CRC, CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2022
Last updated Feb 23rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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