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Individual

JUAN ANTONIO COLON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
1870 LEONARD ST NE, GRAND RAPIDS, MI 49505-5650
(616) 956-9619
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
(616) 281-6459

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
103K00000X
Behavior Analyst
103T00000X
Psychologist
Primary
6352001089
MI

Other

Enumeration date
10/10/2018
Last updated
05/14/2025
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