Individual
HEATHER NICOLE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
262 RED CEDAR ST, BLUFFTON, SC 29910-8968
(850) 207-5552
Mailing address
11 STONEHEDGE WAY, BLUFFTON, SC 29910-9530
(850) 207-5552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6948
SC
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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