Individual
MRS. ANDREA DAWN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCDC
Contact information
Practice address
3201 FM 2004 RD, TEXAS CITY, TX 77591-2199
(713) 824-2114
Mailing address
5117 MEADOW PLACE DR, LA PORTE, TX 77571-2818
(713) 824-2114
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11640
TX
101YP2500X
Professional Counselor
Primary
64619
TX
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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