Individual
AMANDA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
417 MAIN ST, JOHNSTOWN, PA 15901-1808
(814) 254-4502
Mailing address
417 MAIN ST, JOHNSTOWN, PA 15901-1808
(814) 254-4502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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