Individual
CLYSTA COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
2212 S JACKSON ST, SEATTLE, WA 98144-2591
(206) 322-2387
Mailing address
2212 S JACKSON ST, SEATTLE, WA 98144-2591
(206) 322-2387
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
70074097
WA
Other
Enumeration date
01/10/2023
Last updated
01/12/2026
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