Individual
STEPHANEY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
322 FAIRGROVE DR., SPRING CREEK, NV 89815
(210) 845-4718
Mailing address
322 FAIRGROVE DR, SPRING CREEK, NV 89815-7135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MI0849
NV
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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