| Doctor Name: | MISS MARGO COLEMAN |
| NPI Number: | 1225239254 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | CAC III #4112 |
| Business Practice Address: | 6910 Bandley Dr Ste 135 Fountain, CO - 808172612 |
| Business Phone Number: | 7193825778 |
| Business Fax Number: | |
| Mailing Address: | 6910 Bandley Dr Ste 135, FOUNTAIN |
| State: | CO |
| Postal Code: | 808172612 |
| Phone Number: | 7193825778 |
| Fax Number: | |
| NPI Enumeration Date: | 05/29/2007 |
| NPI Last Update Date: | 11/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CAC III #4112 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |