KENYON Q COLE

INGLEWOOD, CA
NPI1104044148
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-04-23
Last Update Date2007-07-08
Business Address
Mr. KENYON Q COLE
8619 CRENSHAW BLVD
INGLEWOOD, CA 90305-2330
Phone number: 310-677-9019
Mailing Address
Mr. KENYON Q COLE
8619 CRENSHAW BLVD
INGLEWOOD, CA 90305-2330
Phone number: 310-677-9019
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