Individual
JENNIFER M COONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CC, RBT, CBT
Contact information
Practice address
498 LECKLER CREEK RD, CASTLE ROCK, WA 98611-9264
(360) 430-1594
Mailing address
498 LECKLER CREEK RD, CASTLE ROCK, WA 98611-9264
(360) 430-1594
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CL61207828
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/14/2019
Last updated
10/11/2021
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