Individual
JULIE S COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3543 DREHER SHOALS RD STE 2, IRMO, SC 29063-7608
(803) 630-1402
Mailing address
3543 DREHER SHOALS RD STE 2, IRMO, SC 29063-7608
(803) 630-1402
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
193
SC
104100000X
Social Worker
8452
SC
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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