Provider Demographics
NPI:1437357837
Name:COLARDO, CATHERINE ELIZABETH (LCSW-A)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ELIZABETH
Last Name:COLARDO
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 CENTER ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-5708
Mailing Address - Country:US
Mailing Address - Phone:910-238-2744
Mailing Address - Fax:910-333-0428
Practice Address - Street 1:165 CENTER ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-5708
Practice Address - Country:US
Practice Address - Phone:910-238-2744
Practice Address - Fax:910-333-0428
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health