Cole, Jodi Lynn

Cole, Jodi Lynn is an individual health care provider with primary practice located at 240 N Tillotson Avenue , Muncie IN 47304-2264. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Cole, Jodi Lynn can be contacted via phone (765) 288-1928.

Contact Information

Primary practice address
240 N Tillotson Avenue Muncie IN 47304-2264
Fax: (765) 741-0335
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39000861A Indiana

Profile Details

NPI number 1578609707
LBN Legal business name Cole, Jodi Lynn
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Mar 20th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578609707 NPPES
Indiana Other 266431060 MEDICARE PTAN
Indiana MEDICAID 300005651 MEDICARE PTAN

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