Individual
COLBY GANNON BACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
301 N 200 E STE 2C, ST GEORGE, UT 84770-3040
(435) 414-0464
Mailing address
301 N 200 E STE 2C, ST GEORGE, UT 84770-3040
(435) 414-0464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9835346-6004
UT
Other
Enumeration date
09/09/2015
Last updated
04/19/2023
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