Individual
THERESE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3700 N CLASSEN BLVD STE C35, OKLAHOMA CITY, OK 73118-2836
(405) 821-7767
(405) 378-2212
Mailing address
2400 NE 100TH ST, OKLAHOMA CITY, OK 73131-3345
(405) 821-7767
(405) 378-2212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200338270B
—
OK
Enumeration date
06/01/2011
Last updated
05/13/2019
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