Individual
CANDACE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
451 BAXTER AVE STE 201, LOUISVILLE, KY 40204-1177
(502) 383-2969
Mailing address
451 BAXTER AVE, LOUISVILLE, KY 40204-1177
(502) 383-2969
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
245368
KY
101YP2500X
Professional Counselor
Primary
92347
TX
Other
Enumeration date
08/23/2019
Last updated
03/13/2026
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