Individual provider · Type 1 NPI
Cole Modlin, MA
Professional Counselor · Colleyville, TX
NPI number
1780099705
Active
Practice location
609 Cheek Sparger Rd Ste 112
Colleyville, TX 76034-3856
Fax (682) 747-6887
Mailing address
7950 Crystal Creek Cir
Fort Worth, TX 76137-5624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 68664 (TX) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1780099705
Cole Modlin, MA's National Provider Identifier is 1780099705, issued on Jun 27, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Colleyville, TX. The record was last updated on May 5, 2020.