Organization
CCS PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GALEN E COLE PHD (LPC)
(888) 475-7174
Entity
Organization
Contact information
Practice address
3121 CENTERVILLE ROSEBUD RD, SNELLVILLE, GA 30039-5316
(888) 475-7174
(888) 210-8891
Mailing address
3121 CENTERVILLE ROSEBUD RD, SNELLVILLE, GA 30039-5316
(888) 475-7174
(888) 210-8891
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003888
GA
Other
Enumeration date
06/11/2009
Last updated
09/24/2012
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