Individual
JACOB COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7840 WASHINGTON AVE, KANSAS CITY, KS 66112-2152
(913) 328-4600
Mailing address
7840 WASHINGTON AVE, KANSAS CITY, KS 66112-2152
(913) 328-4600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
05131
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003913810001
—
KS
Enumeration date
04/13/2026
Last updated
04/15/2026
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