Provider Demographics
NPI:1942579263
Name:COOLEY, SETH BRADEN (LCSW)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:BRADEN
Last Name:COOLEY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 MILL RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-5000
Mailing Address - Country:US
Mailing Address - Phone:828-989-7583
Mailing Address - Fax:
Practice Address - Street 1:23 MILL RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-5000
Practice Address - Country:US
Practice Address - Phone:828-989-7583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-15
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical