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Individual

MR. ABRAHAM COLES II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, SUDCC IV - CS

Contact information

Practice address
341 W 2ND ST STE 3, SAN BERNARDINO, CA 92401-1804
(909) 936-3888
Mailing address
PO BOX 457, BEAUMONT, CA 92223-0457
(909) 681-0707

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6797
CA
1041C0700X
Clinical Social Worker
Primary
122068
CA
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
07/18/2014
Last updated
05/12/2024
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