Kimberley Canupp Colluro in Braselton - Professional
Kimberley Canupp Colluro - NPI 1689646192
Kimberley Canupp Colluro is a Professional in Braselton, Georgia. Kimberley Canupp Colluro practices all healthcare services and medical treatments related to Professional. The NPI Number for Kimberley Canupp Colluro is 1689646192. The last update date is 2013-03-20.
Kimberley Canupp Colluro's current location address is 5415 Golf View Dr, Braselton, Georgia. You can contact this provider via phone number 7706546836. The mailing address for Kimberley Canupp Colluro is 5415 Golf View Dr, Braselton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberley Canupp Colluro |
|---|---|
| Address | 5415 Golf View Dr, Braselton, Georgia |
| Phone Number | 7706546836 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1689646192 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2013-03-20 |
Provider Mailing Address Detail
| Address | 5415 Golf View Dr |
|---|---|
| City | Braselton |
| State | Georgia (GA) |
| Post Code | 305174043 |
| Phone Number | 7706546836 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | LPC004144 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique 10-digit identifier code issued to Kimberley Canupp Colluro by the Centers for Medicare & Medicaid Services?
The Kimberley Canupp Colluro has been assigned the NPI (National Provider Identifier) 1689646192 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kimberley Canupp Colluro?
The Kimberley Canupp Colluro is physically situated at 5415 Golf View Dr, in the city of Braselton, state of GA, with the postal code 305174043.
What is Kimberley Canupp Colluro's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kimberley Canupp Colluro's specialized field of practice is Professional, and the corresponding taxonomy code that categorizes this area of specialization is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1689646192 to Kimberley Canupp Colluro?
The Centers for Medicare & Medicaid Services assigned the 1689646192 to Kimberley Canupp Colluro on 2006-02-07.
As of what date were the details pertaining to Kimberley Canupp Colluro last refreshed?
The information related to the Kimberley Canupp Colluro, including its address, specialty, and other relevant details, was last updated on 2013-03-20.
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