Individual
GUY CALDERON COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LCPC
Contact information
Practice address
8228 CHIMNEY BLUFFS ST, NORTH LAS VEGAS, NV 89085-4412
(702) 985-7511
(702) 645-4919
Mailing address
8228 CHIMNEY BLUFFS ST, NORTH LAS VEGAS, NV 89085-4412
(702) 985-7511
(702) 645-4919
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0134851
NM
101YP2500X
Professional Counselor
Primary
CP0079
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12038643
CAQH
NV
05
—
1205164290
—
NV
Enumeration date
12/02/2009
Last updated
01/28/2014
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