Individual
ELLEN COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
524 S 9TH AVE, CALDWELL, ID 83605-5075
(208) 454-2144
Mailing address
831 N MINER AVE, KUNA, ID 83634-1888
(208) 283-4932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-4991
ID
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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