Individual provider · Type 1 NPI

Brendan Cooney

Mental Health Counselor · Forks, WA

NPI number 1104605039 Active

Practice location

530 Bogachiel Way
Forks, WA 98331-9120

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMC61456318 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1104605039

Brendan Cooney's National Provider Identifier is 1104605039, issued on Sep 28, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Forks, WA. The record was last updated on Sep 28, 2023.