| Doctor Name: | MR. JOE T COLKIN |
| NPI Number: | 1457486029 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.P.C. |
| License Number: | 14004 |
| Business Practice Address: | 770 Piney Grove Rd Rusk, TX - 757853317 |
| Business Phone Number: | 9035212957 |
| Business Fax Number: | 9036836818 |
| Mailing Address: | Po Box 203, GALLATIN |
| State: | TX |
| Postal Code: | 757640203 |
| Phone Number: | 9035212957 |
| Fax Number: | 9036836818 |
| NPI Enumeration Date: | 02/22/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 14004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |