Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ethan Colburn, CMHCI

Individual provider Substance Abuse Rehabilitation Facility · NPI 1316314081

Ethan Colburn, CMHCI is a Substance Abuse Rehabilitation Facility in Moroni, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2015
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Practice location Address checks out

21360 N 1450 E
Moroni, UT 84646-0461
Phone: (435) 445-5200
Fax: (435) 445-5201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X (UT)

Record details

NPI number1316314081
Entity typeIndividual (Type 1)
GenderMale
Credentials CMHCI
Sole proprietorYes
NPI enumeratedAugust 28, 2015
Last updated in NPPESAugust 28, 2015

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