Individual
MRS. CARLA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
5900 PRINCESS GARDEN PKWY, LANHAM, MD 20706-2925
(301) 801-4939
Mailing address
5900 PRINCESS GARDEN PKWY, LANHAM, MD 20706-2925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC9501
MD
101YP2500X
Professional Counselor
LGP7978
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LC9501
—
MD
05
—
LGPC7878
—
MD
Enumeration date
10/09/2018
Last updated
04/29/2019
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