Individual
MR. COOPER LOWE MCCLUNG I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8101 BOAT CLUB RD STE 160, FORT WORTH, TX 76179-3631
(940) 210-9540
Mailing address
8101 BOAT CLUB RD STE 160, FORT WORTH, TX 76179-3631
(940) 210-9540
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
86394
TX
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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