Individual provider · Type 1 NPI

Laura Alyce Colantino

Professional Counselor · Springfield, IL

NPI number 1639637556 Active

Practice location

3000 Lenhart Rd
Springfield, IL 62711-9203

Mailing address

307 S Main St
Loami, IL 62661-3322

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178014702 (IL)

Professional Counselor: Definition to come...

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About NPI 1639637556

Laura Alyce Colantino's National Provider Identifier is 1639637556, issued on Mar 10, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, IL. The record was last updated on Mar 10, 2019.