COLLEEN CORONADO

PROVO, UT
NPI1366747263
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  7224208-6006)
Enumeration Date2011-01-24
Last Update Date2011-01-24
Business Address
Mrs. COLLEEN CORONADO LSAC
1726 BUCKLEY LN
PROVO, UT 84606-5031
Phone number: 801-373-6562
Mailing Address
Mrs. COLLEEN CORONADO LSAC
1726 BUCKLEY LN
PROVO, UT 84606-5031
Phone number: 801-373-6562
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