Individual provider · Type 1 NPI

Wanda Ivette Collazo, LPC

Mental Health Counselor · Fayetteville, NC

NPI number 1336491653 Active

Practice location

590 Cedar Creek Rd, Suite 110
Fayetteville, NC 28312-6559

Call (910) 424-2020 Map

Fax (910) 424-8435

Mailing address

316 Shawcroft Rd
Fayetteville, NC 28311-2934

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X0701011289 (VA)
Mental Health Counselor 101YM0800X8324 (SC)
Mental Health Counselor 101YM0800X92450 (TX)
Mental Health Counselor Primary 101YM0800X9258 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1336491653

Wanda Ivette Collazo, LPC's National Provider Identifier is 1336491653, issued on Oct 10, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fayetteville, NC. The record was last updated on Sep 18, 2026.