Individual
KATHERINE COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8211 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4796
(260) 442-6937
Mailing address
10727 BRIGHTON KNOLL PKWY S, NOBLESVILLE, IN 46060-5576
(317) 281-9306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003951A
IN
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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