Individual
CLAY M COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8423 MARKET ST, BOARDMAN, OH 44512-6778
(330) 965-5490
(330) 965-5491
Mailing address
8401 MARKET ST, YOUNGSTOWN, OH 44512-6725
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1700347
OH
363A00000X
Physician Assistant
Primary
50.008999RX
OH
Other
Enumeration date
03/14/2018
Last updated
11/13/2024
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