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Individual

MICHAEL COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
454 E MAIN ST, ABINGDON, VA 24210-3408
(833) 276-0046
(833) 276-0046
Mailing address
101 MEADOWCREST DR, BRISTOL, VA 24201-3015
(864) 607-2542

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701013463
VA
101YP2500X
Professional Counselor
Primary
0701013463
VA
101YP2500X
Professional Counselor

Other

Enumeration date
04/17/2024
Last updated
04/27/2025
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