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Individual

JACOB COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8850 W 38TH AVE APT 2028, WHEAT RIDGE, CO 80033-4235
(970) 614-5330
Mailing address
8850 W 38TH AVE STE D, WHEAT RIDGE, CO 80033-4245
(970) 614-5330

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09932543
CO
106S00000X
Behavior Technician
Primary
C-500-356-549-597
MD

Other

Enumeration date
01/25/2018
Last updated
04/02/2026
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