Individual
MR. DEREK KEVIN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC, LCPC
Contact information
Practice address
21727 76TH AVE W STE C, EDMONDS, WA 98026-7549
(206) 677-8167
Mailing address
15631 ASH WAY APT D509, LYNNWOOD, WA 98087-5361
(240) 761-8838
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC11328
MD
101YM0800X
Mental Health Counselor
LH61159709
WA
Other
Enumeration date
10/25/2019
Last updated
07/28/2025
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