Individual
DR. PHYLLIS LEIGH COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LPC
Contact information
Practice address
3020 S SAGAMONT AVE APT E12, SPRINGFIELD, MO 65807-4930
(417) 894-5262
Mailing address
3020 S SAGAMONT AVE APT E12, SPRINGFIELD, MO 65807-4930
(417) 894-5262
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2002009573
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495755803
—
MO
Enumeration date
07/12/2007
Last updated
08/22/2022
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