Individual
JAMES PHILIP COOPER-NURSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LMHC
Contact information
Practice address
790 GOV CARLOS G CAMACHO RD, TAMUNING, GU 96913-3129
(671) 647-1902
(671) 647-0250
Mailing address
790 GOV CARLOS G CAMACHO RD, TAMUNING, GU 96913-3129
(671) 647-1902
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LH60034520
WA
101YM0800X
Mental Health Counselor
LH60034520
WA
101YM0800X
Mental Health Counselor
Primary
LMHC-025
GU
101YP2500X
Professional Counselor
LH60034520
WA
Other
Enumeration date
11/20/2008
Last updated
11/19/2024
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