Organization
ALYSON COLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSON COLE (COUNSELOR)
(916) 899-0477
Entity
Organization
Contact information
Practice address
8492 EVERGLADE DR, SACRAMENTO, CA 95826-3615
(916) 899-0477
(916) 391-4247
Mailing address
8492 EVERGLADE DR, SACRAMENTO, CA 95826-3615
(916) 899-0477
(916) 391-4247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RW0895
COUNSELOR
CA
Enumeration date
11/02/2006
Last updated
06/13/2008
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