Individual
MRS. GEOVANA COLOSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
1020 S 4TH AVE, SUITE C, YUMA, AZ 85364-3859
(928) 343-9825
Mailing address
1842 S 17TH AVE, YUMA, AZ 85364-5354
(928) 782-6455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-11460
AZ
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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