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Individual

TONTAELECSA COLONNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
650 SW BROAD ST, SOUTHERN PINES, NC 28387-5911
(910) 725-0211
(910) 725-0301
Mailing address
155 PERHEALTH DR, ABERDEEN, NC 28315-5493
(910) 315-7415

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28148
NC

Other

Enumeration date
03/23/2022
Last updated
04/19/2023
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