LAVON MARIE COLE LCPC
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1013005933- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCPC
- Status
- Active
Contact & Location
- Address
- 265 E CHUBBUCK ROAD, CHUBBUCK, ID, 832025055
- Phone
- (208) 237-1711
- Fax
- (208) 237-9806
Specialties & Taxonomies
Counselor, Mental Health
License: ID #LCPC-304
Counselor, Professional
Primary License: ID #LCPC-304