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NPI Code Detail

MEDICARE: CRAIG A COLES

MEDICARE: CRAIG A COLES
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
1103TB0200XCognitive & Behavioral Psychologist0-04-1543VA
2103K00000XBehavior Analyst0134000034VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760559397
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG A COLES
Provider Business Mailing Address
First Line : 8000 BROOK RD
Second Line :
City : RICHMOND
State : VA
Zip : 23227-1306
Country : US
Telephone Number : 804-553-3200
Fax Number : 804-553-3312
Provider Business Practice Location Address
First Line : 8000 BROOK RD
Second Line :
City : RICHMOND
State : VA
Zip : 23227-1306
Country : US
Telephone Number : 804-553-3200
Fax Number : 804-553-3312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 07/29/2013

Similar Medicare Providers

1912986860 — DR. JANET EDDY MD
Practice Location Address:
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1902885643 — IRVIN GAMMON CRAIG HEALTH CENTER INC
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1992959928 — ST. JOSEPH'S VILLA
Practice Location Address:
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1093969982 — MRS. LINDA DUMOND SALTONSTALL LPC
Practice Location Address:
8000 BROOK RD
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Practice Fax: 804-553-3259
1063650661 — MS. CHERIE DENISE ROCHELLE LCSW
Practice Location Address:
8000 BROOK RD
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23227-1306
Practice Phone: 804-553-3292
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1265671853 — MS. R. MARIE C GUAY LCSW
Practice Location Address:
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23227-1306
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Practice Fax:

Directions to “ CRAIG A COLES ” Practice Location

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