Cole, Lavon Marie

Cole, Lavon Marie is an individual health care provider with primary practice located at 265 E Chubbuck Road , Chubbuck ID 83202-5055. 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, Lavon Marie can be contacted via phone (208) 237-1711.

Contact Information

Primary practice address
265 E Chubbuck Road Chubbuck ID 83202-5055
Phone: (208) 237-1711
Fax: (208) 237-9806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC-304 Idaho

Profile Details

NPI number 1013005933
LBN Legal business name Cole, Lavon Marie
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Apr 27th, 2023 - 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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