Carol Cole Lcsw Apc | |
43218 Business Park Dr Ste 101 Temecula CA 92590-3601 | |
(951) 506-0560 | |
(951) 346-9072 |
Full Name | Carol Cole Lcsw Apc |
---|---|
Speciality | Social Worker |
Location | 43218 Business Park Dr, Temecula, California |
Authorized Official Name and Position | Carol Joy Cole (PRESIDENT) |
Authorized Official Contact | 9515060560 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Carol Cole Lcsw Apc 43218 Business Park Dr Ste 101 Temecula CA 92590-3601 Ph: (951) 506-0560 | Carol Cole Lcsw Apc 43218 Business Park Dr Ste 101 Temecula CA 92590-3601 Ph: (951) 506-0560 |
NPI Number | 1184063539 |
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Provider Enumeration Date | 06/19/2013 |
Last Update Date | 06/19/2013 |
Medicare PECOS PAC ID | 9133342199 |
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Medicare Enrollment ID | O20140520000079 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184063539 | NPI | - | NPPES |
SW14256 | Other | CA | BOARD OF BEHAVIORAL SCIENCES LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS14256 (California) | Primary |
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