NPI 1013405893

Jessica Fern Cooley, MS

Practitioner Psychoanalyst Boulder, CO

Practice location

Address: 2401 Broadway St # 211, Boulder, CO 80304-4108
Phone: (720) 771-6109

Registered specialties

Psychoanalyst Primary

Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence NLC.0107681 (CO)

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Registry record

NPI: 1013405893
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Apr 2018
Record last updated: 26 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.