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Organization

COOPER COUNSELING, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA CREED COOPER MA ED., LCMHC, NCC (CLINICAL MENTAL HEALTH COUNSELOR)
(336) 970-7301
Entity
Organization

Contact information

Practice address
224 WOODBRIDGE DR, MOUNT AIRY, NC 27030-7549
(336) 970-7301
Mailing address
224 WOODBRIDGE DR, MOUNT AIRY, NC 27030-7549
(336) 970-7301

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164932919
NC
Enumeration date
10/09/2020
Last updated
10/09/2020
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