| Doctor Name: | VIRGINIA L. COLEMAN |
| NPI Number: | 1861790966 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW |
| License Number: | 21719 |
| Business Practice Address: | 1763 Monument Rd Ste A Rio Dell, CA - 955621811 |
| Business Phone Number: | 7074075909 |
| Business Fax Number: | 7074433204 |
| Mailing Address: | 1763 Monument Rd Ste A, RIO DELL |
| State: | CA |
| Postal Code: | 955621811 |
| Phone Number: | 7074075909 |
| Fax Number: | 7077643676 |
| NPI Enumeration Date: | 03/14/2011 |
| NPI Last Update Date: | 02/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 21719 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |