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SAVANNAH FAYE COLE AMFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1588218333

Individual Registrant:
 SAVANNAH FAYE COLE AMFT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
162J GROVE ST  BISHOP, CA 93514-2640 US
Tel: 760-873-6533  Fax: --

Contact information for business:
162J GROVE ST  BISHOP, CA 93514-2640 US
Tel: 760-873-8464  Fax: 760-873-6533

Registration Information:
NPI: 1588218333
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CA113202

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
THP11576FCA05




HEALTH CARE JOBS CA - Page 1



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