Individual
ALEXANDRIA YOUNG COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IMFT
Contact information
Practice address
312 3RD ST, ELYRIA, OH 44035-5618
(440) 323-5707
Mailing address
17200 VALLEY RD, CHAGRIN FALLS, OH 44023-9183
(614) 282-2823
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
F.2100159
OH
106H00000X
Marriage & Family Therapist
M0900009
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0352797
—
OH
Enumeration date
06/06/2019
Last updated
04/11/2022
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