Individual provider · Type 1 NPI

Stephanie Colon

Mental Health Counselor · Manteca, CA

NPI number 1043812019 Active

Practice location

301 Cherry Ln Ste 101
Manteca, CA 95337

Call (209) 647-6200 Map

Mailing address

PO Box 5157, 301 Cherry Ln. Ste 101
Manteca, CA 95337

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1043812019

Stephanie Colon's National Provider Identifier is 1043812019, issued on Nov 13, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manteca, CA. The record was last updated on Apr 23, 2021.