Individual
SHAWN RICHARD COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
1020 S MAIN ST, SALT LAKE CITY, UT 84101-3176
(801) 539-7000
Mailing address
172 E 1375 N, LAYTON, UT 84041-2900
(801) 497-9786
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2899916004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107035235101
INTERMTN. HEALTH CARE
UT
01
—
28999160000001
BLUE CROSS
UT
01
—
885236
DESERET MUTUAL
UT
Enumeration date
02/08/2006
Last updated
07/08/2007
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