Individual
CISCO JAVIER COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
8085 WAYZATA BLVD STE 203, ST LOUIS PARK, MN 55426-1461
(612) 296-3800
Mailing address
969 6TH ST E, SAINT PAUL, MN 55106-4505
(612) 750-6655
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4007
MN
Other
Enumeration date
08/03/2022
Last updated
04/09/2024
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