MANDY COLBURN

KINGSTON, TN
NPI1700568243
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-08-03
Last Update Date2023-08-03
Business Address
MANDY COLBURN LADAC II
302 KELSAY DR
KINGSTON, TN 37763-3004
Phone number: 865-206-6971
Mailing Address
MANDY COLBURN LADAC II
302 KELSAY DR
KINGSTON, TN 37763-3004
Phone number: 865-206-6971