Most Relevant Information
Provider Data
NPI Number: | 1003279696 |
Provider Name: | CHANDRA LORENA COLQUITT |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 03/31/2016 |
Last Updated: | 03/31/2016 |
Provider Practice Location
555 SCHOOL ST
PITTSBURG
CA
945653937
Practice Location Phone/Fax
Phone: | 9254324118 |
Fax: |
Provider Mailing Location
555 SCHOOL ST
PITTSBURG
CA
945653937
Provider Mailing Phone/Fax
Phone: | 9254324118 |
Fax: |