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NPI Code Detail

MEDICARE: SARA ALICIA COOLEY QMHP-R

MEDICARE: SARA ALICIA COOLEY QMHP-R
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1437927548
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA ALICIA COOLEY QMHP-R
Provider Business Mailing Address
First Line : 58646 MCNULTY WAY
Second Line :
City : SAINT HELENS
State : OR
Zip : 97051-6210
Country : US
Telephone Number : 253-833-7444
Fax Number :
Provider Business Practice Location Address
First Line : 58646 MCNULTY WAY
Second Line :
City : SAINT HELENS
State : OR
Zip : 97051-6210
Country : US
Telephone Number : 805-801-8215
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2023
Last Update Date : 03/17/2026

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Directions to “ SARA ALICIA COOLEY QMHP-R” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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