Healthcare Provider Details

I. General information

NPI: 1841469673
Provider Name (Legal Business Name): HEATHER MCCULLOCH COLE MA, MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2008
Last Update Date: 02/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 TRINITY DR SUITE B ROOM 3
LOS ALAMOS NM
87544-2226
US

IV. Provider business mailing address

3250 TRINITY DR SUITE B ROOM 3
LOS ALAMOS NM
87544-2226
US

V. Phone/Fax

Practice location:
  • Phone: 505-661-8098
  • Fax:
Mailing address:
  • Phone: 505-661-8098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0107741
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: