Provider Demographics
NPI:1689241655
Name:COLES, FRANCIS MARIA (LICSW)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:MARIA
Last Name:COLES
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 444 BOX 2451
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96297-0025
Mailing Address - Country:US
Mailing Address - Phone:253-686-8188
Mailing Address - Fax:
Practice Address - Street 1:USAG CAMP HUMPHREYS
Practice Address - Street 2:UNIT #15245 BLDG 3030
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96271-5245
Practice Address - Country:US
Practice Address - Phone:315-737-1921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-08
Last Update Date:2022-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
VA09040125171041C0700X
WALW609586571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical