Individual
JEANNIE ELIZABETH COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
4202 N 32ND ST STE J, PHOENIX, AZ 85018-4765
(602) 381-8003
Mailing address
3230 W PECAN RD, PHOENIX, AZ 85041-4350
(480) 540-1620
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC11489
AZ
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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