Individual
CASEY COOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
3614 WILLOW BEACH TRL SW, PRIOR LAKE, MN 55372-2359
(719) 651-9515
Mailing address
3614 WILLOW BEACH TRL SW, PRIOR LAKE, MN 55372-2359
(719) 651-9515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1752
MN
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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