Individual
SHARON F COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
199 MOUNT AIRY DR, JOHNSTOWN, PA 15904-6900
(814) 771-2760
Mailing address
3 S BRADY ST STE 236, DU BOIS, PA 15801-2159
(814) 661-5356
(814) 690-1994
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PC008444
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000053220001
—
PA
Enumeration date
04/05/2016
Last updated
03/05/2019
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