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Individual

MR. JORGE L COLLAZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CASAC

Contact information

Practice address
233 LAFAYETTE ST, NEW YORK, NY 10012-4051
(917) 774-2631
(718) 966-7160
Mailing address
233 LAFAYETTE ST # 0, NEW YORK, NY 10012-4051
(917) 774-2631
(718) 966-7160

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T38378
NY

Other

Enumeration date
04/15/2026
Last updated
04/15/2026
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