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Individual
LISA MARIE COLE
Active
Individual
LISA MARIE COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304301
MN
101YP2500X
Professional Counselor
2281
MN
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
01/29/2021
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