Individual
MEGHAN RENEE COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
1020 S MAIN ST, FOND DU LAC, WI 54935-6138
(920) 923-9054
(920) 322-9193
Mailing address
1020 S MAIN ST, FOND DU LAC, WI 54935-6138
(920) 923-9054
(920) 322-9193
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15578-132
WI
101YP2500X
Professional Counselor
Primary
4527-125
WI
Other
Enumeration date
09/19/2011
Last updated
12/14/2011
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