| Doctor Name: | AMY J COLE |
| NPI Number: | 1114269776 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PLPC |
| License Number: | 2012023290 |
| Business Practice Address: | 1701 N. Central Monett, MO - 65708 |
| Business Phone Number: | 4174761000 |
| Business Fax Number: | |
| Mailing Address: | 12650 Chinquapin St, CASSVILLE |
| State: | MO |
| Postal Code: | 656258571 |
| Phone Number: | 4178474283 |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2013 |
| NPI Last Update Date: | 03/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2012023290 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |