Individual
COLTON D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12295 ORACLE BLVD STE 200, COLORADO SPRINGS, CO 80921-3901
(719) 452-4803
Mailing address
12295 ORACLE BLVD STE 200, COLORADO SPRINGS, CO 80921-3901
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0014696
CO
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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