Individual
ASHLEY N COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
1854 GRAND AVE, SAINT PAUL, MN 55105-1403
(651) 376-2319
Mailing address
1503 PORTLAND AVE, SAINT PAUL, MN 55104-6815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1928
MN
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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