Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN COLBURN, CMHCI
Active Sole ProprietorETHAN COLBURN, CMHCI is a Substance Abuse Rehabilitation Facility healthcare provider located in MORONI, Utah. NPI 1316314081 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · MORONI, UT
Registration Details
- NPI Number
- 1316314081
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2015 (10.778154003912 yrs)
- Last Updated
- Aug 28, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
21360 N 1450 EMORONI, UT, 846460461Browse UT providers · Browse ZIP 84646
- Phone
- 4354455200
- Fax
- 4354455201
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Other Substance Abuse Rehabilitation Facility Providers in MORONI, UT
| Name | Credential | NPI |
|---|---|---|
| CURTIS BRYANT BLACKHAM | — | 1235425109 |
| MICHAEL DAVID HASSLER | — | 1043592637 |
| TYLER STEVEN POULSON | — | 1902163678 |
| MR. SAMUEL PAUL WILKEY | — | 1457611766 |
| BRYANT DAVIS | — | 1932460102 |
| MR. MATTHEW TRUMAN JOHNSON | — | 1932534260 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.