Individual provider · Type 1 NPI

Larry Dale Cole

Addiction (Substance Use Disorder) Counselor · Indianapolis, IN

NPI number 1790865244 Active

Practice location

1481 W 10th St
Indianapolis, IN 46202-2803

Call (317) 988-2790 Map

Fax (317) 988-2884

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 1790865244

Larry Dale Cole's National Provider Identifier is 1790865244, issued on Oct 17, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 8, 2007.