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

Mandy Colburn, LADACII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1700568243

Mandy Colburn, LADACII is an Addiction (Substance Use Disorder) Counselor in Kingston, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

302 Kelsay Dr
Kingston, TN 37763-3004
Phone: (865) 206-6971
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1700568243
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADACII
Sole proprietorYes
NPI enumeratedAugust 3, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023
Mailing address302 Kelsay Dr, Kingston, TN 37763-3004

Other providers in Kingston