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Individual

AMEERAH COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
244 S D ST, SAN BERNARDINO, CA 92401-2004
(909) 763-4840
Mailing address
21369 NISQUALLY RD APT 1, APPLE VALLEY, CA 92308-4305
(909) 802-9224

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APCC6274
CA
101YP2500X
Professional Counselor
Primary
LPCC14369
CA

Other

Enumeration date
04/06/2018
Last updated
04/03/2024
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