Ethan Colburn, CMHCI

NPI #1316314081 in Moroni, Utah

Provider Information

NPI Number
1316314081
Entity Type
Individual
Name
Ethan Colburn, CMHCI
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Substance Abuse Rehabilitation Facility
Credential
CMHCI
Enumeration Date
Aug 28, 2015
Last Updated
Aug 28, 2015

Practice Location

Address
21360 N 1450 E
City
Moroni
State
Utah
ZIP Code
84646-0461
Phone
(435) 445-5200

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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