Individual provider · Type 1 NPI
Mandy Colburn, LADAC II
Addiction (Substance Use Disorder) Counselor · Kingston, TN
NPI number
1700568243
Active
Practice location
302 Kelsay Dr
Kingston, TN 37763-3004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Kingston
About NPI 1700568243
Mandy Colburn, LADAC II's National Provider Identifier is 1700568243, issued on Aug 3, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kingston, TN. The record was last updated on Aug 3, 2023.