Individual
BRIAN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3563 S STATE ROAD 13, WABASH, IN 46992-9162
(260) 563-8452
(260) 569-0335
Mailing address
3563 S STATE ROAD 13, WABASH, IN 46992-9162
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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