Provider Demographics
NPI:1902954555
Name:COOLEY, DONALD D (LPC)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:D
Last Name:COOLEY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1462
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78551-1462
Mailing Address - Country:US
Mailing Address - Phone:956-200-7884
Mailing Address - Fax:956-412-2404
Practice Address - Street 1:3600 N 23RD ST STE 204
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-6081
Practice Address - Country:US
Practice Address - Phone:956-535-8623
Practice Address - Fax:956-535-8623
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60413101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional