Provider Demographics
NPI:1932357381
Name:COOLEY, AMBER KRISTIN (MA, LMFT #52498)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:KRISTIN
Last Name:COOLEY
Suffix:
Gender:F
Credentials:MA, LMFT #52498
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2411
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94702-0411
Mailing Address - Country:US
Mailing Address - Phone:530-680-9925
Mailing Address - Fax:
Practice Address - Street 1:2001 BLAKE ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-2603
Practice Address - Country:US
Practice Address - Phone:510-926-6331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health