Individual provider · Type 1 NPI

Kenyon Q. Cole

Addiction (Substance Use Disorder) Counselor · Inglewood, CA

NPI number 1104044148 Active

Practice location

8619 Crenshaw Blvd
Inglewood, CA 90305-2330

Fax (310) 677-9401

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104044148

Kenyon Q. Cole's National Provider Identifier is 1104044148, issued on Apr 23, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Inglewood, CA. The record was last updated on Jul 8, 2007.