Individual
KATHERINE COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1600 BROAD AVE, GULFPORT, MS 39501-3603
(228) 865-1719
(228) 865-1780
Mailing address
18732 SAUCIER LIZANA RD, SAUCIER, MS 39574-9294
(228) 343-8871
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C11249
MS
Other
Enumeration date
01/30/2019
Last updated
02/26/2025
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