Individual
MR. BRIAN PAUL COLANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CADC
Contact information
Practice address
1605 E EVESHAM RD STE 200B, VOORHEES, NJ 08043-1437
(856) 322-3110
(856) 322-3111
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37CA00097500
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05390100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861969218
BRAVO
NJ
01
—
3739827000
MAGELLAN
NJ
01
—
91003022600
UHCCP
NJ
Enumeration date
03/30/2009
Last updated
09/03/2024
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