Colistra, Angela L

Colistra, Angela L is an individual health care provider with primary practice located at 1627 Chew St Ste 101 , Allentown PA 18102-3648. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Colistra, Angela L can be contacted via phone (610) 969-4370.

Contact Information

Primary practice address
1627 Chew St Ste 101 Allentown PA 18102-3648
Phone: (610) 969-4370
Fax: (610) 969-3023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6111907 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X PC008999 Pennsylvania

Profile Details

NPI number 1538357983
LBN Legal business name Colistra, Angela L
Credentials LCAS, LPC, CRC, CS-I
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2007
Last updated Apr 11th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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