Sara Cooley
Counselor, Professional in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1164071601
StatusActive
Last updated in NPPESSep 7, 2019
Details
- NPI
- 1164071601
- Entity type
- Individual (NPI-1)
- Name
- Sara Cooley
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 7, 2019
- Last updated
- Sep 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
534 Fountain St NeGrand Rapids, MI 49503-3422
Phone 616-456-1178
Mailing address
6890 Byron Lakes Dr Sw Apt 2aByron Center, MI 49315-9768
Other practice locations
1055 Medical Park Dr Se
Grand Rapids, MI 49546-3607
Grand Rapids, MI 49546-3607
Phone 616-954-3125
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