Individual
MS. CYNTHIA COOPER SMOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, CAC III
Contact information
Practice address
107 E GEORGIA, SUITE 3E, GUNNISON, CO 81230
(970) 641-5119
(970) 641-5118
Mailing address
PO BOX 801, GUNNISON, CO 81230
(970) 641-5119
(970) 641-5118
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2606
CO
101YM0800X
Mental Health Counselor
Primary
284
CO
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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