| Christine Cole, Lpc, Llc | |
|
2520 Kari Ln Grovetown GA 30813-3198 | |
| (706) 250-0453 | |
| Not Available |
| Full Name | Christine Cole, Lpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2520 Kari Ln, Grovetown, Georgia |
| Authorized Official Name and Position | Christine Cole (OWNER) |
| Authorized Official Contact | 7062500453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Cole, Lpc, Llc 607 Ronald Reagan Dr Unit 11 Evans GA 30809-7701 Ph: (706) 250-0453 | Christine Cole, Lpc, Llc 2520 Kari Ln Grovetown GA 30813-3198 Ph: (706) 250-0453 |
| NPI Number | 1982212619 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 07/20/2020 |
| Certification Date | 07/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982212619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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