Individual
MS. WYNEE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
20651 WEST WARREN, DEARBORN HEIGHTS, MI 48127
(313) 271-3050
Mailing address
P.O. BOX 28535, DETROIT, MI 48228
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401006855
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C-00561
MI
104100000X
Social Worker
6802070297
MI
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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