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NPI Code Detail

MEDICARE: MATTHEW COONEY M.A.,LPC

MEDICARE: MATTHEW COONEY M.A.,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 Counselor.0019435CO

General Provider Information

NPI Number : 1548853849
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW COONEY M.A.,LPC
Provider Business Mailing Address
First Line : 9475 BRIAR VILLAGE PT STE 320
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-7905
Country : US
Telephone Number : 970-310-3406
Fax Number :
Provider Business Practice Location Address
First Line : 9475 BRIAR VILLAGE PT STE 320
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-7905
Country : US
Telephone Number : 970-310-3406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2021
Last Update Date : 06/06/2023

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