Individual
JUDITH C COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
515 CAMSON RD, ANDERSON, SC 29625-1407
(864) 716-2316
Mailing address
200 MCGEE RD, ANDERSON, SC 29625-2104
(864) 260-2220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5105
SC
101YP2500X
Professional Counselor
7378
NC
Other
Enumeration date
07/08/2009
Last updated
03/03/2010
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