Individual
MARY AMY LYNN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS, LCMHCA, CSI
Contact information
Practice address
737 E MAIN ST, SPINDALE, NC 28160-1938
(980) 389-4291
Mailing address
6172 LITTLE MOUNTAIN RD, SHERRILLS FORD, NC 28673-7833
(980) 389-4291
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-26622
NC
Other
Enumeration date
02/02/2021
Last updated
02/20/2025
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