Individual
MRS. COURTNEY COONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2115 S BROADWAY AVE, TYLER, TX 75701-4214
(903) 907-7002
Mailing address
4805 ROYAL OAK ST, WICHITA FALLS, TX 76308-5215
(940) 696-1076
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
31025
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165570601
—
TX
Enumeration date
10/12/2007
Last updated
06/28/2023
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