Individual
ASHLEE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
819 BROAD ST, DURHAM, NC 27705-4137
(919) 673-6605
Mailing address
4823 LAZYRIVER DR, DURHAM, NC 27712-9554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A19535
NC
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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