Individual
ANN COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LPC
Contact information
Practice address
295 W BROADWAY, EUGENE, OR 97401-3005
(541) 636-3358
Mailing address
2185 FAIRMOUNT BLVD, EUGENE, OR 97403-1782
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C0660
OR
225700000X
Massage Therapist
Primary
023599
OR
Other
Enumeration date
08/01/2017
Last updated
08/15/2017
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