Individual
COLIN ALPHONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
4040 N CENTRAL EXPY, DALLAS, TX 75204-3158
(972) 557-1617
Mailing address
4124 CHIEF DR, CARROLLTON, TX 75007-1474
(972) 946-2002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17139
TX
101YP2500X
Professional Counselor
Primary
94862
TX
Other
Enumeration date
11/30/2024
Last updated
11/30/2024
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