Provider Demographics
NPI:1982874921
Name:COLORADO, DELIA I
Entity type:Individual
Prefix:MRS
First Name:DELIA
Middle Name:I
Last Name:COLORADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1191 CENTRAL BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-2279
Mailing Address - Country:US
Mailing Address - Phone:925-634-4445
Mailing Address - Fax:
Practice Address - Street 1:1191 CENTRAL BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-2279
Practice Address - Country:US
Practice Address - Phone:925-634-4445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor