Individual
DR. JO ANN M. COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
20860 WATERTOWN RD, WAUKESHA, WI 53186-1872
(262) 821-6117
(262) 821-6119
Mailing address
20860 WATERTOWN RD, WAUKESHA, WI 53186-1872
(262) 821-6117
(262) 821-6119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12131-131
WI
103T00000X
Psychologist
1286-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39042500
—
WI
Enumeration date
03/06/2007
Last updated
09/11/2025
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