Cole, Kendra J.
Cole, Kendra J. is an individual health care provider with primary practice located at 1005 Health Center Dr Ste 102 , Mattoon IL 61938-4693. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cole, Kendra J. can be contacted via phone (217) 258-4042.Contact Information
Primary practice address
1005 Health Center Dr Ste 102
Mattoon IL 61938-4693
Phone: (217) 258-4042
Fax: (217) 258-4053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149-007401 | Illinois |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 149007401 | Illinois |
Profile Details
| NPI number | 1548352248 |
|---|---|
| LBN Legal business name | Cole, Kendra J. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | May 11th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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