Individual
DR. JOSEPH BENTON COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LPC, NCC
Contact information
Practice address
1908 T ST NW, SUITE A, WASHINGTON, DC 20009-1276
(703) 842-7975
Mailing address
4421 FAIR STONE DR, #201, FAIRFAX, VA 22033-5116
(703) 842-7975
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2530
NC
101YP2500X
Professional Counselor
Primary
PRC13971
DC
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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