Individual
DANIELLE CECILE COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 S PASADENA AVE UNIT 3072, PASADENA, CA 91105-1871
(626) 566-4222
Mailing address
250 S PASADENA AVE UNIT 3072, PASADENA, CA 91105-1871
(626) 566-4222
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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