LAURA A COLE LCSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1679227284- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCSW
- Status
- Active
Contact & Location
- Address
- 1870 SW BESRA DR, MOUNTAIN HOME, ID, 836471010
- Phone
- (406) 860-7068
Specialties & Taxonomies
Social Worker, Clinical
License: ID #1061072
Social Worker, Clinical
Primary License: MT #BBH-LCSW-LIC-64384
All Addresses
MAILING
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID, 836481062