Individual
BRETT COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
1115 W. HAR-BER ROAD, GROVE, OK 74345-1385
(918) 786-4434
(918) 786-4435
Mailing address
820 CHATSWORTH DR, GROVE, OK 74344-3800
(918) 868-4651
(918) 786-4435
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1044
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498412915
—
MO
Enumeration date
05/04/2006
Last updated
03/17/2011
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