Individual
JEANNIE COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
5955 W MAIN ST, KALAMAZOO, MI 49009-8700
(269) 301-1177
Mailing address
5955 W MAIN ST, KALAMAZOO, MI 49009-8700
(269) 330-9353
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361007611
MI
103T00000X
Psychologist
6362008869
MI
Other
Enumeration date
07/31/2020
Last updated
09/26/2021
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