Individual
MR. ROBERT BRUCE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
395 TRAVIS BLVD, TROY, MO 63379-2715
(636) 528-1996
Mailing address
305 SOUTH 2ND STREET, PO BOX 54, CLARKSVILLE, MO 63336
(636) 358-0103
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2010037184
MO
251S00000X
Community/Behavioral Health Agency
2010037184
MO
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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