Individual
KRYSTAL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, LMHC, LPCMH
Contact information
Practice address
270 EAST LN, BURLINGAME, CA 94010-2802
(877) 505-7147
Mailing address
PO BOX 612, OLD BRIDGE, NJ 08857-0612
(848) 338-3651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
123288
IA
101YM0800X
Mental Health Counselor
PC-0011498
DE
101YP2500X
Professional Counselor
Primary
37PC00740800
NJ
101YP2500X
Professional Counselor
LPC05245
AL
Other
Enumeration date
05/25/2016
Last updated
05/22/2025
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