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NPI Code Detail

MEDICARE: SARA EMILY COLE MFT

MEDICARE:   SARA EMILY COLE  MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist47276CA

General Provider Information

NPI Number : 1659447266
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA EMILY COLE MFT
Provider Business Mailing Address
First Line : 9666 BUSINESSPARK AVE STE 201
Second Line :
City : SAN DIEGO
State : CA
Zip : 92131-1646
Country : US
Telephone Number : 619-316-3171
Fax Number :
Provider Business Practice Location Address
First Line : 2840 ADAMS AVE STE 103
Second Line :
City : SAN DIEGO
State : CA
Zip : 92116-1404
Country : US
Telephone Number : 619-283-5731
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2006
Last Update Date : 07/30/2020

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Directions to “ SARA EMILY COLE MFT” Practice Location

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