Individual
EMILY COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
755 W HOFFER ST, BANNING, CA 92220-2348
(951) 922-0356
Mailing address
6235 RIVER CREST DR STE O, RIVERSIDE, CA 92507-0758
(951) 653-7561
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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