Individual
NICOLE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7943 BIG BEND BLVD, WEBSTER GROVES, MO 63119-2703
(314) 695-5053
Mailing address
7943 BIG BEND BLVD, WEBSTER GROVES, MO 63119-2703
(573) 483-6928
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2023023882
MO
Other
Enumeration date
08/14/2023
Last updated
03/04/2024
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