Matthew A Cooley, BS
Counselor, Mental Health in Newton, IL. Individual provider (NPI-1).
NPI number1669735593
StatusActive
Last updated in NPPESJun 15, 2012
Details
- NPI
- 1669735593
- Entity type
- Individual (NPI-1)
- Name
- Matthew A Cooley
- Credential
- BS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2012
- Last updated
- Jun 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
106 Edwards StNewton, IL 62448-1736
Phone 618-783-4154 · Fax 618-783-2339
Mailing address
106 Edwards StNewton, IL 62448-1736
Phone 618-783-4154 · Fax 618-783-2339
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