Individual
MS. HANNAH EDITH COLLENTINE-COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4175 LAKESIDE DRIVE, RICHMOND, CA 94806
(510) 262-6551
Mailing address
10474 MATHER BLVD, MATHER, CA 95655-4116
(916) 599-9173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
95783
CA
Other
Enumeration date
05/27/2015
Last updated
10/06/2021
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