# KATHLEEN JEANETTE COOPER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1477245843
- **Gender:** F
- **Credential:** MA, LLPC, LLMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 6451022828 | MI | — |
| 106H00000X | Marriage & Family Therapist | 4151001091 | MI | Yes |

## Other

- **Enumeration date:** 05/24/2023
- **Last updated:** 05/24/2023
