Individual
MS. CONNIE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCTSI
Contact information
Practice address
6201 W OLIVE AVE APT 1233, GLENDALE, AZ 85302-4538
(231) 350-6888
Mailing address
6201 W OLIVE AVE APT 1233, GLENDALE, AZ 85302-4538
(231) 350-6888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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