Individual
MRS. JESSICA CREED COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA ED, LCMHC, NCC
Contact information
Practice address
107 W INDEPENDENCE BLVD STE 202, MOUNT AIRY, NC 27030-3589
(336) 310-5182
Mailing address
107 W INDEPENDENCE BLVD STE 202, MOUNT AIRY, NC 27030-3589
(336) 310-5182
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
02/05/2025
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