LAVEENA EBONY MARIE COLE

EL CAJON, CA
NPI1407038482
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-11-30
Last Update Date2007-11-30
Business Address
-- LAVEENA EBONY MARIE COLE
630 SOUTH LINCOLN AVE #12
EL CAJON, CA 92020
Phone number: 760-782-7116
Mailing Address
-- LAVEENA EBONY MARIE COLE
630 S LINCOLN AVE APT 12
EL CAJON, CA 92020-5337
Phone number: 760-782-7116
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