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Individual

JASON SCOTT COLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC, CADC

Contact information

Practice address
705 N SPARKLE CT, OSWEGO, IL 60543-7942
(630) 913-7045
(630) 551-2213
Mailing address
11411 S MARATHON LN, PLAINFIELD, IL 60585-6178
(630) 605-6019
(630) 551-2213

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.004934
IL

Other

Enumeration date
08/22/2009
Last updated
08/22/2009
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