Individual
MRS. ANITA LOUISE COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LADC
Contact information
Practice address
69 HIGH ST, DOVER FOXCROFT, ME 04426-1270
(207) 564-4276
(207) 564-4478
Mailing address
897 W MAIN ST, DOVER FOXCROFT, ME 04426-1029
(207) 564-4276
(207) 564-4478
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC4122
ME
1041C0700X
Clinical Social Worker
Primary
LC11761
ME
Other
Enumeration date
12/11/2006
Last updated
06/17/2009
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