Provider Demographics
NPI:1275685810
Name:COLE, JAMES W (ED D)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:W
Last Name:COLE
Suffix:
Gender:M
Credentials:ED D
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Mailing Address - Street 1:413 N MAIN ST
Mailing Address - Street 2:STE A
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-3183
Mailing Address - Country:US
Mailing Address - Phone:509-925-5226
Mailing Address - Fax:509-925-5551
Practice Address - Street 1:413 N MAIN ST
Practice Address - Street 2:STE A
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-3183
Practice Address - Country:US
Practice Address - Phone:509-925-5226
Practice Address - Fax:509-925-5551
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2016-12-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WA1509103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA115000467Medicare ID - Type Unspecified