Individual
DAREAL GOVAN COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1530 METROPOLITAN AVE APT 6F, BRONX, NY 10462-6839
(347) 613-2098
Mailing address
1530 METROPOLITAN AVE APT 6F, BRONX, NY 10462-6839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/12/2020
Last updated
05/10/2021
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