Individual
MRS. THERESA LYNN COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSC/CC
Contact information
Practice address
17505 N 79TH AVE STE 213, GLENDALE, AZ 85308-8728
(602) 541-2772
Mailing address
3131 E LEGACY DR UNIT 2113, PHOENIX, AZ 85042-6044
(602) 541-2772
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-14542
AZ
Other
Enumeration date
04/13/2010
Last updated
06/12/2014
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