Individual
NICOLE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CMHP, QMHP, QIDP
Contact information
Practice address
G3169 BEECHER RD, FLINT, MI 48532-3611
(810) 237-0799
Mailing address
PO BOX 289, MASON, MI 48854-0289
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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