| Thecoollineorg | |
|
451 14th St Burlington CO 80807-1609 | |
| (719) 342-0586 | |
| Not Available |
| Full Name | Thecoollineorg |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 451 14th St, Burlington, Colorado |
| Authorized Official Name and Position | Paula R Gable (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3033579743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thecoollineorg 2485 Tower Ave Burlington CO 80807-2613 Ph: (719) 342-0586 | Thecoollineorg 451 14th St Burlington CO 80807-1609 Ph: (719) 342-0586 |
| NPI Number | 1356125629 |
|---|---|
| Provider Enumeration Date | 08/18/2023 |
| Last Update Date | 08/18/2023 |
| Certification Date | 08/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356125629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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