Individual provider · Type 1 NPI
Laveena Ebony Marie Cole
Addiction (Substance Use Disorder) Counselor · El Cajon, CA
NPI number
1407038482
Active
Practice location
630 South Lincoln Ave, #12
El Cajon, CA 92020
Mailing address
630 S Lincoln Ave Apt 12
El Cajon, CA 92020-5337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1407038482
Laveena Ebony Marie Cole's National Provider Identifier is 1407038482, issued on Nov 30, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in El Cajon, CA. The record was last updated on Nov 30, 2007.