Dakotah Antony Cole, LCSW

NPI #1174090252 in Star, Idaho

Provider Information

NPI Number
1174090252
Entity Type
Individual
Name
Dakotah Antony Cole, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Oct 26, 2018
Last Updated
Jun 12, 2024

Practice Location

Address
2121 N GARNET CREEK AVE
City
Star
State
Idaho
ZIP Code
83669-8001
Phone
(208) 740-0544

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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