Individual
AMANDA JO COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
16064 MENDOTA RD, ABINGDON, VA 24210-4062
(276) 492-1747
Mailing address
16064 MENDOTA RD, ABINGDON, VA 24210-4062
(276) 492-1747
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701011949
LICENSED PROFESSIONAL COUNSELOR
VA
Enumeration date
01/19/2023
Last updated
01/19/2023
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