Individual
MR. JAN MICHAEL VESELAK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 S HAVANA ST, SUITE 712, AURORA, CO 80012-4018
(303) 718-6853
Mailing address
1450 S HAVANA ST, SUITE 712, AURORA, CO 80012-4018
(303) 718-6853
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
136
CO
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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