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Individual
JAWARA DIA COOLEY
Active
Individual
JAWARA DIA COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, LPC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PRC200001661
DC
101YP2500X
Professional Counselor
LGPC00826
DC
Other
Enumeration date
02/23/2021
Last updated
01/17/2023
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