Individual
MS. JEREMY ROSSA COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
19045 STATE HIGHWAY 305 NE STE 205, POULSBO, WA 98370
(360) 930-0615
(360) 598-3235
Mailing address
18511 HARRIS AVE NE, SUQUAMISH, WA 98392-9697
(207) 797-3434
(360) 930-0957
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034373
ANTHEM
—
01
—
7194211
AETNA
—
Enumeration date
02/05/2007
Last updated
07/27/2018
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