Individual
MR. COLE MODLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
609 CHEEK SPARGER RD STE 112, COLLEYVILLE, TX 76034-3856
(682) 999-8186
(682) 747-6887
Mailing address
7950 CRYSTAL CREEK CIR, FORT WORTH, TX 76137-5624
(682) 999-8186
(682) 747-6887
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
68664
TX
Other
Enumeration date
06/27/2014
Last updated
05/05/2020
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