Individual
CHERYL L COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
116 JAMISON LN, MONROEVILLE, PA 15146-2316
(412) 980-1373
Mailing address
116 JAMISON LN, MONROEVILLE, PA 15146-2316
(412) 980-1373
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SW127489
PA
101YM0800X
Mental Health Counselor
SW127489
PA
1041C0700X
Clinical Social Worker
SW127489
PA
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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