Individual
MR. JAMES EDWARD COLBERG I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC1
Contact information
Practice address
3647 HWY 39, KLAMATH FALLS, OR 97603-2612
(541) 884-5244
Mailing address
3647 HWY 39, KLAMATH FALLS, OR 97603-2612
(541) 884-5244
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11-03-04
OR
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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