Individual
MR. ZUMO M KOLLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
5856 OLD OAK RIDGE RD APT 703, GREENSBORO, NC 27410-8423
(336) 508-1837
Mailing address
5856 OLD OAK RIDGE RD APT 703, GREENSBORO, NC 27410-8423
(336) 508-1837
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NC
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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