Provider Demographics
NPI:1386965713
Name:COLE, ALAN C (LPC)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:C
Last Name:COLE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 MEMORIAL BLVD W
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-4540
Mailing Address - Country:US
Mailing Address - Phone:304-523-9454
Mailing Address - Fax:304-525-7038
Practice Address - Street 1:1102 MEMORIAL BLVD W
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-4540
Practice Address - Country:US
Practice Address - Phone:304-523-9454
Practice Address - Fax:304-525-7038
Is Sole Proprietor?:No
Enumeration Date:2010-06-21
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1984101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health