Individual provider · Type 1 NPI
Tontaelecsa Colonna
Addiction (Substance Use Disorder) Counselor · Southern Pines, NC
NPI number
1205585486
Active
Practice location
650 SW Broad St
Southern Pines, NC 28387-5911
Fax (910) 725-0301
Mailing address
155 Perhealth Dr
Aberdeen, NC 28315-5493
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 28148 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1205585486
Tontaelecsa Colonna's National Provider Identifier is 1205585486, issued on Mar 23, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Southern Pines, NC. The record was last updated on Apr 19, 2023.