MR. Michael P Colucci, BALAS

NPI #1457864043 in Western Springs, Illinois

Provider Information

NPI Number: 1457864043
Entity Type: Individual
Name: MR. Michael P Colucci, BALAS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: BALAS
Enumeration Date: Nov 6, 2017
Last Updated: Nov 6, 2017

Practice Location

Address: 1023 BURLINGTON AVE
City: Western Springs
State: Illinois
ZIP Code: 60558-1516
Phone: (708) 745-5277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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