Individual
BENJAMIN COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 FOREST AVE, MAYSVILLE, KY 41056-1411
(606) 564-4016
Mailing address
611 FOREST AVE, MAYSVILLE, KY 41056-1411
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
260820
KY
Other
Enumeration date
08/07/2018
Last updated
08/20/2020
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