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Individual

CHRISTOPHER STEPHEN COLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
2500 S 5TH AVE, POCATELLO, ID 83204-1923
(208) 505-9990
Mailing address
2500 S 5TH AVE, POCATELLO, ID 83204-1923
(208) 505-9990

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-9560
ID
101YP2500X
Professional Counselor
Primary
8331565
ID
101YP2500X
Professional Counselor
Primary
LPC-9560
ID

Other

Enumeration date
09/07/2023
Last updated
07/08/2026
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