Individual
MRS. AUTUMN MICHELLE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBS, LPC
Contact information
Practice address
405 S WASHINGTON ST, ARDMORE, OK 73401-7044
(580) 223-9705
(580) 223-8736
Mailing address
405 S WASHINGTON ST, ARDMORE, OK 73401-7044
(580) 223-9705
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3658
OK
Other
Enumeration date
02/12/2007
Last updated
12/03/2012
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