Individual
MARVA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, CAP
Contact information
Practice address
12029 CORTEZ BLVD, BROOKSVILLE, FL 34613-7372
(904) 637-4910
Mailing address
12029 CORTEZ BLVD, BROOKSVILLE, FL 34613-7372
(904) 637-4910
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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