DONALD LEON KOLLAK

COMMERCE CITY, CO
NPI1982948758
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  3838)
Enumeration Date2012-11-19
Last Update Date2012-11-19
Business Address
Mr. DONALD LEON KOLLAK cac II
7373 BIRCH ST
COMMERCE CITY, CO 80022-1446
Phone number: 303-412-3962
Mailing Address
Mr. DONALD LEON KOLLAK cac II
7373 BIRCH ST
COMMERCE CITY, CO 80022-1446
Phone number: