Organization
CLINT COOPER LMFT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON COOPER LMFT (OWNER)
(336) 963-9885
Entity
Organization
Contact information
Practice address
13951 N SCOTTSDALE RD STE 110, SCOTTSDALE, AZ 85254-3454
(623) 299-2439
Mailing address
20343 N HAYDEN RD STE 105-465, SCOTTSDALE, AZ 85255-3876
(623) 299-2439
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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