Individual
STACI COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
410 S ORCHARD ST. STE 140, BOISE, ID 83705-1288
(986) 686-6548
(844) 845-7650
Mailing address
410 S ORCHARD ST. STE 140, BOISE, ID 83705-1288
(503) 314-7435
(844) 845-7650
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-4487
ID
Other
Enumeration date
09/26/2008
Last updated
04/23/2024
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