Individual
JEANNETTE COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 N DREXEL AVE, HAVERTOWN, PA 19083-4914
(161) 071-6279
Mailing address
110 N DREXEL AVE, HAVERTOWN, PA 19083-4914
(161) 071-6279
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC008573
PA
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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