Individual
MR. EARLY B. COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMPH, LADC, CPC
Contact information
Practice address
3040 LAKE ST, OMAHA, NE 68111-3700
(402) 813-2505
(402) 451-5462
Mailing address
2512 CORBY ST, OMAHA, NE 68111-3320
(402) 451-5462
(402) 451-5462
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1997
NE
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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