Individual
MS. CASSANDRA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
12217 S JUSTINE ST, CHICAGO, IL 60643-5407
(773) 206-3790
Mailing address
12217 S JUSTINE ST, CHICAGO, IL 60643-5407
(773) 206-3790
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180004497
IL
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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