Individual
JODI LYNN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
240 N TILLOTSON AVENUE, MUNCIE, IN 47304-2264
(765) 288-1928
(765) 741-0335
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000861A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266431060
MEDICARE PTAN
IN
05
—
300005651
—
IN
Enumeration date
01/29/2007
Last updated
03/20/2024
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