Individual
SHENELL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3001 CHURCHLAND BLVD, CHESAPEAKE, VA 23321-5603
(757) 977-9675
(757) 483-8099
Mailing address
3001 CHURCHLAND BLVD, CHESAPEAKE, VA 23321-5603
(757) 977-9675
(757) 483-8099
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710102482
VA
Other
Enumeration date
01/28/2021
Last updated
01/29/2021
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