Individual
MRS. DONNA D COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
233 OIL WELL RD STE E, JACKSON, TN 38305-8014
(731) 664-6525
(731) 660-8495
Mailing address
233 OIL WELL RD STE E, JACKSON, TN 38305-8014
(731) 664-6525
(731) 660-8495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3132
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
278233000
MAGELLAN
TN
05
—
3698526
—
TN
01
—
4031806
BCBS
TN
01
—
7412330
AETNA
TN
Enumeration date
09/21/2006
Last updated
02/20/2009
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