Individual
MISTY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
10310 N 138TH EAST AVE STE 201, OWASSO, OK 74055-4641
(405) 254-6081
Mailing address
10310 N 138TH EAST AVE STE 201, OWASSO, OK 74055-4641
(405) 254-6081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5580
OK
101YM0800X
Mental Health Counselor
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—
Other
Enumeration date
02/11/2013
Last updated
08/19/2019
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