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NPI Code Detail

MEDICARE: JOSEPH ARTHUR COOLEY LPC

MEDICARE:   JOSEPH ARTHUR 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
1101YP2500XProfessional Counselor178.018452IL

General Provider Information

NPI Number : 1346941911
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH ARTHUR COOLEY LPC
Provider Business Mailing Address
First Line : 520 W BYRON AVE
Second Line :
City : ADDISON
State : IL
Zip : 60101-1305
Country : US
Telephone Number : 708-737-6725
Fax Number :
Provider Business Practice Location Address
First Line : 1919 S HIGHLAND AVE STE 325A
Second Line :
City : LOMBARD
State : IL
Zip : 60148-6181
Country : US
Telephone Number : 630-716-3864
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2023
Last Update Date : 03/13/2023

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Directions to “ JOSEPH ARTHUR COOLEY LPC” Practice Location

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