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Organization
SAGELAND
Active
Organization
SAGELAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADISON KOHLS LPC (OWNER)
(970) 314-4698
Entity
Organization
Contact information
Practice address
1114 GRAND AVE, GRAND JUNCTION, CO 81501-3430
(970) 314-4698
Mailing address
1005 N 12TH ST STE 206, GRAND JUNCTION, CO 81501-3157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000252885
—
CO
Enumeration date
09/16/2025
Last updated
02/24/2026
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