Individual
SHILEA DIANNE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1258 W SOUTH JORDAN PKWY STE 202, SOUTH JORDAN, UT 84095-4712
(801) 255-1155
Mailing address
10961 S CHAMP JASPER WAY, SOUTH JORDAN, UT 84095-1243
(801) 671-2647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13330295-6009
UT
Other
Enumeration date
04/22/2024
Last updated
05/06/2024
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