Conner, Colleen Carol
Conner, Colleen Carol is an sole proprietor health care provider with primary practice located at 101 Cabarrus Ave E , Concord NC 28025-3699. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Conner, Colleen Carol can be contacted via phone (888) 849-7379.Contact Information
Primary practice address
101 Cabarrus Ave E
Concord NC 28025-3699
Phone: (888) 849-7379
Fax: (855) 857-7333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C005538 | North Carolina |
Profile Details
| NPI number | 1629109152 |
|---|---|
| LBN Legal business name | Conner, Colleen Carol |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| Last updated | May 26th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629109152 | NPPES |
| North Carolina | MEDICAID | 6106592 |
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