JEFFREY D COLE

WICHITA, KS
NPI1609153006
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  291)
Enumeration Date2011-11-14
Last Update Date2011-11-14
Business Address
-- JEFFREY D COLE Clinical Addiction C
2318 E CENTRAL AVE
WICHITA, KS 67214-4436
Phone number: 316-262-0415
Mailing Address
-- JEFFREY D COLE Clinical Addiction C
2318 E CENTRAL AVE
WICHITA, KS 67214-4436
Phone number: 316-262-0415