Individual
JEFFREY D COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CLINICAL ADDICTION C
Contact information
Practice address
2318 E CENTRAL AVE, WICHITA, KS 67214-4436
(316) 262-0415
(316) 262-0318
Mailing address
2318 E CENTRAL AVE, WICHITA, KS 67214-4436
(316) 262-0415
(316) 262-0318
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
291
KS
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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