Individual
JACQUELINE N COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
401 RAINBOW DR UNIT 35, PINEVILLE, LA 71360-6979
(318) 487-5191
Mailing address
401 RAINBOW DR UNIT 35, PINEVILLE, LA 71360-6979
(318) 487-5191
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC #904
LA
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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