Individual
MR. COLIN D VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
1009 W RIDGE ST STE C, MARQUETTE, MI 49855-3997
(906) 228-6545
(906) 228-8236
Mailing address
97 S 4TH ST STE C, ISHPEMING, MI 49849-2168
(906) 228-9699
(888) 977-2109
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
08/24/2021
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