Individual
ISAAC COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ALC
Contact information
Practice address
2421 PRESIDENTS DR STE B-21, MONTGOMERY, AL 36116-1632
(334) 539-7017
Mailing address
8743 RIDGESTONE CT, MONTGOMERY, AL 36117-8874
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3324A
AL
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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