Individual
MICHAEL COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
1947 JONATHAN CIR, SHELBY TOWNSHIP, MI 48317-3821
(248) 931-8411
Mailing address
1947 JONATHAN CIR, SHELBY TOWNSHIP, MI 48317-3821
(248) 931-8411
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401223209
MI
101YP2500X
Professional Counselor
6451018945
MI
Other
Enumeration date
10/08/2021
Last updated
06/21/2023
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