| NPI | 1952679359 |
|---|---|
| Professional Name | JAMES EDWARD COLBERG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 11-03-04) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |