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Individual

MS. MICHELLE MARIE COLVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
201 ALAMEDA DEL PRADO STE 103, NOVATO, CA 94949-6698
(415) 457-6964
Mailing address
201 ALAMEDA DEL PRADO STE 103, NOVATO, CA 94949-6698
(628) 301-1607

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
175T00000X
Peer Specialist
Primary
MPSS-IDBJTS
CA

Other

Enumeration date
01/21/2025
Last updated
05/12/2026
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