Individual
MS. MICHELE LEIGH COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSWCC, LADC
Contact information
Practice address
1155 LISBON ST, LEWISTON, ME 04240-5025
(207) 783-9141
Mailing address
31 VALLEY RD, BATH, ME 04530-2810
(207) 751-5587
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC4303
ME
101YM0800X
Mental Health Counselor
MC5643
ME
Other
Enumeration date
04/27/2012
Last updated
04/07/2022
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