Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | 274 | CA |
NPI | 1003256371 |
---|---|
Provider Name | Rachel Kane-Cooley |
First Address | Campbell, CA 95008 |
Second Address | Campbell, CA 95008-3279 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2013 |
Last Update Date | 01/07/2013 |