Individual
ALICIA R COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
3225 N MERIDIAN ST, SUITE 200, INDIANAPOLIS, IN 46208-4672
(317) 908-6063
Mailing address
5602 N COLLEGE AVE, INDIANAPOLIS, IN 46220-3154
(317) 331-1905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
886569896
IN
1041C0700X
Clinical Social Worker
Primary
886569896
IN
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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