Individual
KRISTEN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1079 E MORRIS BLVD, MORRISTOWN, TN 37813-5901
(423) 318-7373
(423) 318-7474
Mailing address
1079 E MORRIS BLVD, MORRISTOWN, TN 37813-5901
(423) 318-7373
(423) 318-7474
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000003822
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q029407
—
TN
Enumeration date
09/10/2012
Last updated
03/05/2020
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