Individual
TAEKO MICHELLE COLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1537 S MAIN ST, SALT LAKE CITY, UT 84115-5315
(385) 777-9444
Mailing address
1735 S MAIN ST, SALT LAKE CITY, UT 84115-1976
(307) 371-5429
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12872334-6009
UT
Other
Enumeration date
10/02/2020
Last updated
04/06/2026
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