Individual
JULIA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 LAKEVIEW DR, STAMFORD, CT 06905-3022
(808) 269-7158
Mailing address
22 LAKEVIEW DR, STAMFORD, CT 06905-3022
(808) 269-7158
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5532
CT
Other
Enumeration date
06/05/2022
Last updated
06/05/2022
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