Individual
ALEXIS COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
411 COURT ST, PORTSMOUTH, OH 45662
(740) 354-6685
Mailing address
923 FINDLAY ST, PORTSMOUTH, OH 45662-4148
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
163410
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.167248
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
S.1800464-TRNE
OH
Other
Enumeration date
11/07/2017
Last updated
05/30/2018
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