Individual
BRENDA SUE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA 168347
Contact information
Practice address
546 PEARL ST, MARION, OH 43302-4956
(740) 244-7680
Mailing address
546 PEARL ST, MARION, OH 43302-4956
(740) 244-7680
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
168347
OH
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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