Individual
CHRISTINE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 KARI LN, GROVETOWN, GA 30813-3198
(706) 250-0453
Mailing address
607 RONALD REAGAN DR UNIT 11, EVANS, GA 30809-7701
(706) 250-0453
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC7483
MD
101YM0800X
Mental Health Counselor
LC7483
MD
101YP2500X
Professional Counselor
Primary
LC7483
MD
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
11/15/2016
Last updated
07/20/2020
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