Individual
SHANNON LEIGHANNE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
29 BREEZY ACRES, MOUNT VERNON, ME 04352-3534
(207) 994-7146
Mailing address
29 BREEZY ACRES, MOUNT VERNON, ME 04352-3534
(207) 557-1033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC25315
ME
Other
Enumeration date
12/05/2022
Last updated
12/10/2025
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