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General NPI Number Information
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NPI Number | 1235627670
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Entity Type | Individual
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Provider Name | MONICA MICHELE COOLEY M.S.
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Gender | Female
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Dates
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Enumeration Date | 05/01/2018
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 1833 S. OREGON ST
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City | YREKA
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State | CA
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Zip | 96097
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Country | US
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Telephone | 530-842-3455
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Fax |
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Provider Business Mailing Address
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Address Line | 126 OAK VIEW CT.
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City | YREKA
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State | CA
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Zip | 96097
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Country | US
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Telephone | 530-905-3541
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPCC13974
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | APCC5027
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License Number State | CA
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