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Individual
TERRY COLE
Active
Individual
TERRY COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, MAC, CCS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
501603
GA
101YP2500X
Professional Counselor
Primary
LPC002004
GA
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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