Individual
LAURA DEGUIRE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3506 WEST AVE, AUSTIN, TX 78705-1112
(512) 365-4893
Mailing address
3506 WEST AVE, AUSTIN, TX 78705-1112
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
60230
TX
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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