Individual
MR. BARRY BO COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
277 SOUTH ST, SUITE Y, SAN LUIS OBISPO, CA 93401
(805) 541-0107
Mailing address
1511 OSOS ST, SAN LUIS OBISPO, CA 93406
(805) 541-0107
(805) 544-0741
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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