Organization
SEDONIA COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MARIE COOPER LCSW (OWNER)
(317) 449-9418
Entity
Organization
Contact information
Practice address
10812 CARDINAL CIR, PLYMOUTH, IN 46563-7968
(317) 449-9418
(574) 800-4114
Mailing address
10812 CARDINAL CIR, PLYMOUTH, IN 46563-7968
(317) 449-9418
(574) 800-4114
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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