Provider Demographics
NPI:1942475496
Name:COLE, TONI SHERLITA
Entity Type:Individual
Prefix:MS
First Name:TONI
Middle Name:SHERLITA
Last Name:COLE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:TONI
Other - Middle Name:SHERLITA
Other - Last Name:COLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:7410 MISSION VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-4405
Mailing Address - Country:US
Mailing Address - Phone:619-400-5157
Mailing Address - Fax:619-400-5159
Practice Address - Street 1:7410 MISSION VALLEY RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4405
Practice Address - Country:US
Practice Address - Phone:619-400-5157
Practice Address - Fax:619-400-5159
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500783801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical