Individual
BETHANY L. COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1624 RURAL ST, EMPORIA, KS 66801-5548
(620) 487-4141
(620) 208-9393
Mailing address
1624 RURAL ST, EMPORIA, KS 66801-5548
(620) 487-4141
(620) 208-9393
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2253
KS
Other
Enumeration date
10/10/2008
Last updated
04/05/2019
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