Cisco Javier Cole, MA, LMFT
Marriage & Family Therapist in St Louis Park, MN. Individual provider (NPI-1).
NPI number1063149656
StatusActive
Last updated in NPPESApr 9, 2024
Details
- NPI
- 1063149656
- Entity type
- Individual (NPI-1)
- Name
- Cisco Javier Cole
- Credential
- MA, LMFT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 3, 2022
- Certification date
- Apr 9, 2024
- Last updated
- Apr 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 4007 | MN | Yes |
Practice location
8085 Wayzata Blvd Ste 203St Louis Park, MN 55426-1461
Phone 612-296-3800
Mailing address
969 6th St ESaint Paul, MN 55106-4505
Phone 612-750-6655
Other practice locations
1551 Payne Ave
Saint Paul, MN 55130-3218
Saint Paul, MN 55130-3218
Phone 763-780-3307 · Fax 833-777-2781
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All 127 Marriage & Family Therapist providers in St Louis Park · All 3,529 providers in St Louis Park
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