Provider Demographics
NPI:1811889421
Name:COOLEY, CHANDLER ELIZABETH
Entity type:Individual
Prefix:
First Name:CHANDLER
Middle Name:ELIZABETH
Last Name:COOLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHANDLER
Other - Middle Name:ELIZABETH
Other - Last Name:CROUCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1800 SIDNEY AVE APT 5-119
Mailing Address - Street 2:
Mailing Address - City:PORT ORCHARD
Mailing Address - State:WA
Mailing Address - Zip Code:98366-2425
Mailing Address - Country:US
Mailing Address - Phone:254-652-5123
Mailing Address - Fax:
Practice Address - Street 1:1800 SIDNEY AVE
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98366
Practice Address - Country:US
Practice Address - Phone:254-652-5123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor