Individual
MRS. HEATHER MCCULLOCH COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MFT
Contact information
Practice address
3250 TRINITY DR, SUITE B ROOM 3, LOS ALAMOS, NM 87544-2226
(505) 661-8098
Mailing address
3250 TRINITY DR, SUITE B ROOM 3, LOS ALAMOS, NM 87544-2226
(505) 661-8098
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0107741
NM
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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