Individual
PRESTON COLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1651 THIBODEAUX AVE, BATON ROUGE, LA 70806-8271
(225) 610-5544
Mailing address
6840 N FIELDGATE CT, BATON ROUGE, LA 70808-5453
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3688
LA
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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