Individual
MS. COLLEEN H CANYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
220 9TH ST, JERSEY CITY, NJ 07302-4288
(929) 992-0935
Mailing address
394 MOUNTAIN ROAD, UNION CITY, NJ 07087
(917) 881-8096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
098837
NY
1041C0700X
Clinical Social Worker
Primary
44SC06373900
NJ
171100000X
Acupuncturist
001473
NY
171100000X
Acupuncturist
25MZ00019300
NJ
Other
Enumeration date
02/05/2007
Last updated
03/23/2025
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