Individual
SUSANNA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
170 JENNIFER RD STE 202, ANNAPOLIS, MD 21401-3064
(443) 995-2203
Mailing address
395 KINGS COLLEGE DR, ARNOLD, MD 21012-1824
(443) 995-2203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC5053
MD
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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