Individual
STEPHANIE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LPC, CPC
Contact information
Practice address
8651 HIGHWAY N, STE 100, LAKE ST LOUIS, MO 63367
(425) 470-3957
Mailing address
8651 HIGHWAY N, STE 100 PMB #3018, LAKE ST LOUIS, MO 63367
(425) 470-3957
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2022030373
MO
101YM0800X
Mental Health Counselor
CP5404-R
NV
101YM0800X
Mental Health Counselor
Primary
LH61255915
WA
Other
Enumeration date
10/18/2019
Last updated
05/15/2023
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