Individual
AKENYA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2712 S CALHOUN ST, FORT WAYNE, IN 46807-1402
(260) 744-4326
(260) 744-0188
Mailing address
2712 S CALHOUN ST, FORT WAYNE, IN 46807-1402
(260) 744-4326
(260) 744-0188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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