Individual
MR. GARY JAMES COLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCH TECH.
Contact information
Practice address
14780 EL CAMINO REAL, ATASCADERO, CA 93422-6408
(805) 461-4148
Mailing address
193 STONEBRIDGE LN, PASO ROBLES, CA 93446-1927
(805) 237-4046
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
22180
CA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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