MEDICARE: ANN MARIE COLIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1457555997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN MARIE COLIN

Provider Business Mailing Address
First Line	:	5420 W SAHARA AVE
Second Line	:	SUITE 201
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-0394
Country	:	US
Telephone Number	:	702-882-7827
Fax Number	:	702-522-9336

Provider Business Practice Location Address
First Line	:	5420 W SAHARA AVE
Second Line	:	SUITE 201
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-0394
Country	:	US
Telephone Number	:	702-882-7827
Fax Number	:	702-522-9336

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	10/03/2013

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Directions to “ ANN MARIE COLIN ” Practice Location

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