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Individual

JIMMY VITTORIO COLELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1401 APPLEWOOD DR, DALTON, GA 30720-2699
(706) 270-5033
(706) 270-5124
Mailing address
1401 APPLEWOOD DR, DALTON, GA 30720-2699
(706) 270-5033
(706) 270-5124

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
12/30/2015
Last updated
12/30/2015
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