Individual
MRS. JUDITH ANN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
44 COTTONWOOD ST, CLAYTON, GA 30525
(706) 782-0717
Mailing address
1078 DEERFIELD DR, CLAYTON, GA 30525-5852
(706) 212-0124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1507CACII
GA
101YP2500X
Professional Counselor
LPC003351
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10045580
AMERIGROUP
GA
Enumeration date
02/07/2007
Last updated
09/11/2025
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