Individual
JEAN BULLOCK COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9395 CROWN CREST BLVD, PARKER, CO 80138
(303) 269-4590
Mailing address
DEPT 1762, DENVER, CO 80291-1762
(303) 486-5504
(303) 486-5501
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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