Individual
MATTHEW LEE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
951 UPPER CRAB ORCHARD RD, BANNER ELK, NC 28604-6884
(828) 773-5893
Mailing address
951 UPPER CRAB ORCHARD RD, BANNER ELK, NC 28604-6884
(828) 773-5893
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8520
NC
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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