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Individual

HENRY COLBERT

Active
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Individual

HENRY COLBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—

Other

Enumeration date
03/31/2016
Last updated
01/30/2018
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