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NPI Code Detail

MEDICARE: CIARA COLBERT CDCA

MEDICARE: CIARA COLBERT CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.183885OH

General Provider Information

NPI Number : 1740906734
Entity Type Code : Individual
Provider Name (Legal Business Name) : CIARA COLBERT CDCA
Provider Business Mailing Address
First Line : 132 E MAIN ST
Second Line :
City : LANCASTER
State : OH
Zip : 43130-3712
Country : US
Telephone Number : 614-404-5923
Fax Number :
Provider Business Practice Location Address
First Line : 132 E MAIN ST
Second Line :
City : LANCASTER
State : OH
Zip : 43130-3712
Country : US
Telephone Number : 614-404-5923
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2022
Last Update Date : 05/23/2023

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Directions to “ CIARA COLBERT CDCA” Practice Location

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