La Keshia C Coleman | Oakland, CA • PECOS Search

La Keshia C Coleman

Counselor

Behavioral Health & Social Service Providers

3007 Telegraph Ave, Oakland, CA 94609-3205

PECOS Enrollment

Based on the most recent information from CMS, provider La Keshia C Coleman does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1750546255
Provider Type
Individual
Full Name
Coleman, La Keshia C
Title
Mrs.

Gender
Female
Sole Proprietor
No
Enumeration Date
7/23/2008
Last Updated
7/23/2008

Contact Information

Practice Location

3007 Telegraph Ave, Oakland, CA 94609-3205

Unlisted Fax

Mailing Location

3007 Telegraph Ave, Oakland, CA 94609-3205

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YA0400X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer