Individual
JOHNNY COLE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
24 JONES AVE, ROCHESTER, NY 14608-1252
(585) 719-8523
(585) 719-8526
Mailing address
24 JONES AVE, ROCHESTER, NY 14608-1252
(585) 719-8523
(585) 719-8526
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10911
NY
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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