Individual
MRS. JOHNNETTA COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
17295 CHESTERFIELD AIRPORT RD, CHESTERFIELD, MO 63005-1423
(636) 530-3664
Mailing address
26 PRESIDENT DR, O FALLON, MO 63368-8527
(314) 359-9452
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2014007447
MO
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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