Kristina Coles, Lcsw-A
Social Worker, Clinical in Mcdonough, GA. Individual provider (NPI-1).
NPI number1508296179
StatusActive
Last updated in NPPESDec 22, 2023
Details
- NPI
- 1508296179
- Entity type
- Individual (NPI-1)
- Name
- Kristina Coles
- Credential
- Lcsw-A
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 19, 2013
- Certification date
- Dec 22, 2023
- Last updated
- Dec 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | P007249 | NC | Yes |
Practice location
821 Pavilion Ct Ste GMcdonough, GA 30253-5223
Phone 678-818-5570
Mailing address
821 Pavilion Ct Ste GMcdonough, GA 30253-5223
Phone 678-818-5570
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