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NPI Code Detail

MEDICARE: JADE W COOLEY LPC

MEDICARE: JADE W COOLEY LPC
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
1101YM0800XMental Health Counselor0017683CO

General Provider Information

NPI Number : 1093258634
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADE W COOLEY LPC
Provider Business Mailing Address
First Line : 2150 W 29TH AVE STE 135
Second Line :
City : DENVER
State : CO
Zip : 80211-3869
Country : US
Telephone Number : 720-263-7194
Fax Number :
Provider Business Practice Location Address
First Line : 2150 W 29TH AVE STE 135
Second Line :
City : DENVER
State : CO
Zip : 80211-3869
Country : US
Telephone Number : 720-263-7194
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2016
Last Update Date : 08/01/2023

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Directions to “ JADE W COOLEY LPC” Practice Location

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