Individual
MR. MATTHEW SHAWN COOPER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. LPC
Contact information
Practice address
12415 E 191ST ST S, BIXBY, OK 74008-6600
(539) 664-6602
(918) 364-1904
Mailing address
PO BOX 4155, TULSA, OK 74159-0155
(539) 664-6602
(918) 364-1904
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4999
OK
Other
Enumeration date
06/19/2007
Last updated
09/20/2013
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