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Individual

MRS. ANGELA L COLISTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCAS, LPC, CRC, CS-I

Contact information

Practice address
1627 CHEW ST STE 101, ALLENTOWN, PA 18102-3648
(610) 969-4370
(610) 969-3023
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6111907
NC
101YP2500X
Professional Counselor
Primary
PC008999
PA

Other

Enumeration date
10/11/2007
Last updated
04/11/2024
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