Individual
HEATHER COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7140 SW FIR LOOP, PORTLAND, OR 97223-8021
(208) 297-1405
Mailing address
7140 SW FIR LOOP, PORTLAND, OR 97223-8021
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
09/19/2022
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