Individual provider · Type 1 NPI
Ventura Colon, CRC
Addiction (Substance Use Disorder) Counselor · Lackawanna, NY
NPI number
1437295565
Active
Practice location
2600 South Park, Lackawanna Daasp
Lackawanna, NY 14218
Fax (716) 822-8165
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 7175 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1437295565
Ventura Colon, CRC's National Provider Identifier is 1437295565, issued on Jan 29, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lackawanna, NY. The record was last updated on Jul 8, 2007.