Individual
CHRISTIAN B COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 N SCHOOL ST, LODI, CA 95240-1233
(209) 426-7837
Mailing address
715 N SCHOOL ST, LODI, CA 95240-1233
(209) 327-7538
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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