Individual
CAROL COLMENERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LASAC
Contact information
Practice address
3033 S ARIZONA AVE, CHANDLER, AZ 85248-2717
(480) 930-3803
Mailing address
853 W SHANNON ST, CHANDLER, AZ 85225-7203
(480) 930-3803
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13113
AZ
1041C0700X
Clinical Social Worker
Primary
15277
AZ
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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