ETHAN COLBURN, CMHCI
Substance Abuse Rehabilitation Facility
Active
Individual
NPI: 1316314081
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Yes | - |
Frequently Asked Questions
NPI 1316314081 is the National Provider Identifier for ETHAN COLBURN, CMHCI, a Substance Abuse Rehabilitation Facility provider located in Moroni, UT. This NPI was enumerated on August 28, 2015.
ETHAN COLBURN, CMHCI practices at 21360 N 1450 E, Moroni, UT 84646.
Quick Facts
- NPI
- 1316314081
- Type
- Individual
- Enumerated
- Aug 28, 2015
- Last Updated
- Aug 28, 2015
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