Individual
DR. DIANE LYN COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW LICSW PHD
Contact information
Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(800) 813-2000
Mailing address
3123 NW PACIFIC RIM DR, CAMAS, WA 98607-7555
(503) 493-2492
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
L5297
OR
Other
Enumeration date
06/24/2009
Last updated
11/09/2022
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