Individual
CANDACE BRYANT COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33919 9TH AVE S STE 209, FEDERAL WAY, WA 98003-6724
(253) 230-6123
Mailing address
PO BOX 23884, FEDERAL WAY, WA 98093-0884
(253) 331-5050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LW00006516
WA
Other
Enumeration date
04/24/2008
Last updated
11/08/2021
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