Individual
KEITH PRENTISS COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
511 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 525-7851
Mailing address
99 CRACKER BARREL DR STE 100, BARBOURSVILLE, WV 25504-1650
(304) 525-7851
(304) 697-1251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2213
WV
101YP2500X
Professional Counselor
Primary
2213
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023815000
—
WV
Enumeration date
01/18/2016
Last updated
09/19/2025
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