Individual
COLEEN NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
152 N 56TH ST, SUITE B, MESA, AZ 85205-8718
(602) 368-4471
(888) 974-1094
Mailing address
152 N 56TH ST, SUITE B, MESA, AZ 85205-8718
(602) 368-4471
(888) 974-1094
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15183
AZ
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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