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Individual

JEFFREY MATTHEW COLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, CACIII

Contact information

Practice address
430 W MAIN ST, SUITE 202, ASPEN, CO 81611-1616
(303) 815-9399
Mailing address
PO BOX 412, SNOWMASS, CO 81654-0412
(303) 815-9399

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7141
CO
101YP2500X
Professional Counselor
Primary
5714
CO

Other

Enumeration date
01/10/2011
Last updated
10/30/2013
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