Individual provider · Type 1 NPI
John D. Cooley, PhD
Professional Counselor · Jackson, MO
NPI number
1992857056
Active
Practice location
810 E Jackson Blvd, Suite B1
Jackson, MO 63755-2432
Fax (573) 243-7276
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | CS001856 (MO) |
Professional Counselor: Definition to come...
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About NPI 1992857056
John D. Cooley, PhD's National Provider Identifier is 1992857056, issued on Jan 17, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, MO. The record was last updated on Jul 9, 2007.