Individual
LISA MARIE COLYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4140 NW 27TH LN STE F, GAINESVILLE, FL 32606-6600
(386) 717-6134
(352) 554-4929
Mailing address
PO BOX 244, BELL, FL 32619-0244
(386) 717-6134
(352) 554-4929
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101Y00000X
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH11619
FL
101YP2500X
Professional Counselor
MH11619
FL
Other
Enumeration date
04/30/2010
Last updated
01/14/2024
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