| NPI | 1811467632 |
|---|---|
| Other Name | SHANNON COLBURN-BLINN, LCSW |
| Entity Type | Organization |
| Authorized Contact | SHANNON R COLBURN-BLINN Owner 260-702-9036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2019-02-08 |