Individual
MS. CHANTAY NICOLE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4774 CRAIGMOSS LN, CHARLOTTE, NC 28278-6675
(704) 651-9776
Mailing address
4774 CRAIGMOSS LN, CHARLOTTE, NC 28278-6675
(704) 651-9776
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C008000
NC
1041C0700X
Clinical Social Worker
Primary
C008000
NC
Other
Enumeration date
09/04/2012
Last updated
06/02/2015
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