Provider Demographics
NPI:1831879436
Name:COLAMARINO, ARNOLD JOSEPH (MA, LCMHCA)
Entity type:Individual
Prefix:MR
First Name:ARNOLD
Middle Name:JOSEPH
Last Name:COLAMARINO
Suffix:
Gender:M
Credentials:MA, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 CROWNE OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-3393
Mailing Address - Country:US
Mailing Address - Phone:336-420-8262
Mailing Address - Fax:
Practice Address - Street 1:155 SUNNYNOLL CT STE 100
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-5077
Practice Address - Country:US
Practice Address - Phone:336-777-6617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18989101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health