National Provider Identifier

Ventura Colon, CRC

Ventura Colon, CRC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Lackawanna, NY and a listed phone number of (716) 822-2117.

NPI 1437295565Lackawanna, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1437295565
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
January 29, 2007
Last Updated
July 08, 2007

Practice Location

  • 2600 South Park
  • Lackawanna Daasp
  • Lackawanna, NY 14218

Phone: (716) 822-2117

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1437295565
Entity Type
Individual
Last Name
Colon
First Name
Ventura
Name Prefix
Mr.
Credential
CRC
Mailing Street Address
2600 South Park
Mailing Address Line 2
Lackawanna Daasp
Mailing City
Lackawanna
Mailing State
NY
Mailing ZIP Code
14218
Mailing Country
US
Mailing Phone
(716) 822-2117
Mailing Fax
(716) 822-8165
Practice Street Address
2600 South Park
Practice Address Line 2
Lackawanna Daasp
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218
Practice Country
US
Practice Phone
(716) 822-2117
Practice Fax
(716) 822-8165
Enumeration Date
January 29, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)
Other Identifiers
7175 (NY, Casac), 00010771 (NY, Crc)