Doctor Name: | LAURA CAROLINE COLAS |
NPI Number: | 1073907994 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | A10687 |
Business Practice Address: | 507 Stornoway Dr Southern Pines, NC - 283877413 |
Business Phone Number: | 9104892599 |
Business Fax Number: | |
Mailing Address: | 507 Stornoway Dr, SOUTHERN PINES |
State: | NC |
Postal Code: | 283877413 |
Phone Number: | 9104892599 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2015 |
NPI Last Update Date: | 03/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | A10687 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |