Individual
DUSTIN JAMES COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
3401 BERRYWOOD DR, COLUMBIA, MO 65201-8372
(573) 777-8330
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 269-5400
(417) 269-7212
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2013025358
MO
1041C0700X
Clinical Social Worker
Primary
2013025358
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494562002
—
MO
Enumeration date
01/26/2011
Last updated
08/12/2025
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