Individual
AMY M COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 813-1737
Mailing address
3095 MILL POND DR, BELLBROOK, OH 45305-1486
(937) 474-3189
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.185896
OH
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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