Individual
KRISTINA ANN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACI
Contact information
Practice address
1875 FANT DR, FT OGLETHORPE, GA 30742-3307
(706) 861-3387
Mailing address
3231 LEONA DR, ROCKY FACE, GA 30740-8952
(443) 454-8323
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3253
GA
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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