Individual
MRS. COLLEEN CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAC
Contact information
Practice address
1726 BUCKLEY LN, PROVO, UT 84606-5031
(801) 373-6562
(801) 373-9225
Mailing address
1726 BUCKLEY LN, PROVO, UT 84606-5031
(801) 373-6562
(801) 373-9225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7224208-6006
UT
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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