Individual
MR. DORIAN COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
311 W 35TH ST, NEW YORK, NY 10001-1701
(212) 736-5900
Mailing address
642 E 82ND ST, BROOKLYN, NY 11236-3306
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24447
NY
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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