Individual
MR. DONALD LEON KOLLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC II
Contact information
Practice address
7373 BIRCH ST, COMMERCE CITY, CO 80022-1446
(303) 412-3962
Mailing address
7373 BIRCH ST, COMMERCE CITY, CO 80022-1446
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3838
CO
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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