Individual
JAWARA DIA COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, LPC, NCC
Contact information
Practice address
14625 BALTIMORE AVE # 801, LAUREL, MD 20707-4902
(202) 734-6820
Mailing address
14625 BALTIMORE AVE # 801, LAUREL, MD 20707-4902
(202) 734-6820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PRC200001661
DC
101YP2500X
Professional Counselor
LGPC00826
DC
Other
Enumeration date
02/23/2021
Last updated
01/17/2023
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