NPI Profile for TERRY COLE in MORROW, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1720220965 |
|
| Status | Active | |
| Credentials | LPC, MAC, CCS | |
| Entity | Individual | |
| Enumeration date | 04/02/2009 | |
| Last updated | 04/02/2009 - About 17 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TERRY COLE
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