Individual
MARIA C COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
506 AVENUE L, DODGE CITY, KS 67801-5319
(620) 227-8566
Mailing address
PO BOX 1905, GARDEN CITY, KS 67846-1905
(620) 275-0644
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3125
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201110030A
—
KS
Enumeration date
05/28/2018
Last updated
11/30/2023
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