Individual
TODD JAMES COLOSIMO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(843) 903-6212
Mailing address
863 SULTANA DR, LITTLE RIVER, SC 29566-8511
(910) 212-0715
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-26817
NC
Other
Enumeration date
11/08/2020
Last updated
11/08/2020
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