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Individual

MS. CARLA COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
515 W SAINT JOHN ST, OLNEY, IL 62450-1426
(618) 395-8063
(618) 395-8063
Mailing address
504 MICAH DR, OLNEY, IL 62450-4720
(618) 395-4306
(618) 395-4507

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
08/31/2016
Last updated
08/31/2016
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