Provider Demographics
NPI:1699596510
Name:COLON, JAMES NEMESIO (MHSC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:NEMESIO
Last Name:COLON
Suffix:
Gender:M
Credentials:MHSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 W COURT ST APT 234
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18101-1842
Mailing Address - Country:US
Mailing Address - Phone:610-703-4546
Mailing Address - Fax:
Practice Address - Street 1:333 W COURT ST APT 234
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101-1842
Practice Address - Country:US
Practice Address - Phone:610-703-4546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health