Individual
MARIA KATRINA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4102 WOOLWORTH AVE, OMAHA, NE 68105-1899
(402) 444-7330
(402) 996-8171
Mailing address
6302 SOUTHERN HLS, SAN ANTONIO, TX 78244
(210) 292-4452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9384
NE
1041C0700X
Clinical Social Worker
LMHP-4245, CMSW 1503
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092619
—
NE
Enumeration date
12/14/2011
Last updated
11/06/2014
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