Individual
ALLYSON COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 TUTTLE PL, MIDDLETOWN, CT 06457-1870
(860) 398-7478
Mailing address
20 TUTTLE PL, MIDDLETOWN, CT 06457-1870
(860) 398-7478
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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