Cooley, Nicole M

Cooley, Nicole M is an individual health care provider with primary practice located at 10301 Democracy Ln Ste 301302 , Fairfax VA 22030-2545. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cooley, Nicole M can be contacted via phone (571) 223-7588.

Contact Information

Primary practice address
10301 Democracy Ln Ste 301302 Fairfax VA 22030-2545
Phone: (571) 223-7588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904016120 Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 35461 Texas

Profile Details

NPI number 1073578969
LBN Legal business name Cooley, Nicole M
Credentials LCSW, BCD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Apr 2nd, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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