Individual provider · Type 1 NPI

Colleen Coronado, LSAC

Addiction (Substance Use Disorder) Counselor · Provo, UT

NPI number 1366747263 Active

Practice location

1726 Buckley Ln
Provo, UT 84606-5031

Call (801) 373-6562 Map

Fax (801) 373-9225

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X7224208-6006 (UT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1366747263

Colleen Coronado, LSAC's National Provider Identifier is 1366747263, issued on Jan 24, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Provo, UT. The record was last updated on Jan 24, 2011.