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Individual

EDITH COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1751 S 8TH ST # B, COLORADO SPRINGS, CO 80905-1926
(719) 471-1816
Mailing address
1751 S 8TH ST # B, COLORADO SPRINGS, CO 80905-1926

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
09926015
CO
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
05/29/2019
Last updated
05/30/2019
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