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General NPI Number Information
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NPI Number | 1700543667
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Entity Type | Individual
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Provider Name | COLE RISBON LPC, NCC
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Gender | Male
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Dates
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Enumeration Date | 11/25/2021
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 11676 PERRY HWY STE 2105
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City | WEXFORD
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State | PA
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Zip | 15090-7200
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Country | US
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Telephone | 878-283-2636
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Fax | 412-588-1266
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Provider Business Mailing Address
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Address Line | 11676 PERRY HWY STE 2105
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City | WEXFORD
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State | PA
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Zip | 15090-7200
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Country | US
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Telephone | 878-283-2636
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Fax | 412-588-1266
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC018971
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License Number State | PA
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