Provider Demographics
NPI:1841693561
Name:COLE, JOSHUA (MA)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:COLE
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7411 W CLEARWATER AVE BLDG B
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-1683
Mailing Address - Country:US
Mailing Address - Phone:509-539-7297
Mailing Address - Fax:855-927-0440
Practice Address - Street 1:7411 W CLEARWATER AVE BLDG B
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-1683
Practice Address - Country:US
Practice Address - Phone:092-054-0405
Practice Address - Fax:855-927-0440
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-08
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
WA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor