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Individual

JASON COLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
516 WASHINGTON ST STE I, CHAGRIN FALLS, OH 44022-4402
(440) 214-9062
Mailing address
8 WATER ST, CHAGRIN FALLS, OH 44022-3159
(813) 335-2611

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.2606261
OH
251S00000X
Community/Behavioral Health Agency
Primary
CDCA.170766
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2864093
OH
Enumeration date
10/01/2019
Last updated
02/20/2026
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