Provider Demographics
NPI:1487909560
Name:COLON, SANDRA E (BA)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:E
Last Name:COLON
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
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Mailing Address - Street 1:5664 SW 60TH AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-5677
Mailing Address - Country:US
Mailing Address - Phone:352-291-5555
Mailing Address - Fax:352-291-9536
Practice Address - Street 1:4620 E SILVER SPRINGS BLVD STE 400
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-3354
Practice Address - Country:US
Practice Address - Phone:352-236-8300
Practice Address - Fax:352-236-8390
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)