Pool, Madonna Cooper
Pool, Madonna Cooper is an sole proprietor health care provider with primary practice located at 3783 Pleasant Valley Rd , Oakland MD 21550-5609. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Pool, Madonna Cooper can be contacted via phone (301) 616-7469.Contact Information
Primary practice address
3783 Pleasant Valley Rd
Oakland MD 21550-5609
Phone: (301) 616-7469
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCA201 | Maryland |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC1504 | Maryland |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 60402 | North Carolina |
Profile Details
| NPI number | 1205063310 |
|---|---|
| LBN Legal business name | Pool, Madonna Cooper |
| Credentials | MS., LCADC, LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2009 |
| Last updated | Jun 16th, 2009 - about 15 years 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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