Individual
AUDREY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4530 S DECATUR BLVD STE 201A, LAS VEGAS, NV 89103-5239
(775) 309-7672
Mailing address
3417 LIVIA AVE, NORTH LAS VEGAS, NV 89031-7234
(702) 902-3738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/21/2017
Last updated
12/30/2025
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