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NPI Code Detail

MEDICARE: MS. REBECCA L COLE M ED, LPC-A

MEDICARE:  MS. REBECCA L COLE  M ED, LPC-A
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
1101YP2500XProfessional CounselorTX
2101YM0800XMental Health CounselorTX

General Provider Information

NPI Number : 1407665730
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA L COLE M ED, LPC-A
Provider Business Mailing Address
First Line : 4314 MULBERRY SAGE DR
Second Line :
City : BAYTOWN
State : TX
Zip : 77521-1171
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1120 NASA PKWY STE 225
Second Line :
City : HOUSTON
State : TX
Zip : 77058-3362
Country : US
Telephone Number : 281-946-9916
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2025
Last Update Date : 01/01/2025

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Directions to “ MS. REBECCA L COLE M ED, LPC-A” Practice Location

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