Individual
MR. CARLOS MANUEL SANTIAGO COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
10244 E COLONIAL DR STE 110, ORLANDO, FL 32817-4365
(407) 202-9440
Mailing address
10244 E COLONIAL DR STE 110, ORLANDO, FL 32817-4365
(407) 202-9440
(407) 601-6879
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
FL
103T00000X
Psychologist
—
—
Other
Enumeration date
03/08/2023
Last updated
03/10/2023
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