Organization
DOGWOOD MENTAL HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASKELL STEPHEN COOPER PHD, LCSW (MANAGING MEMBER)
(936) 622-0993
Entity
Organization
Contact information
Practice address
412 NORTH ST, SUITE B, NACOGDOCHES, TX 75961-5077
(936) 622-0993
(936) 622-0994
Mailing address
PO BOX 632279, NACOGDOCHES, TX 75963-2279
(936) 622-0993
(936) 622-0994
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34017
TX
Other
Enumeration date
01/27/2014
Last updated
02/14/2014
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