Individual
LAUREN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
240 WATERFALL DR, ELKHART, IN 46516-3668
(574) 404-8790
Mailing address
240 WATERFALL DR, ELKHART, IN 46516-3668
(574) 404-8790
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88000986A
IN
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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