Individual
COLE CAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1409 KIRKMAN ST, LAKE CHARLES, LA 70601-5344
(337) 419-3586
Mailing address
1117 KIRKMAN ST, LAKE CHARLES, LA 70601-5317
(337) 414-8379
(337) 210-7065
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/04/2020
Last updated
08/14/2024
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