Individual
KENDRA MICHELLE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHP, LAC
Contact information
Practice address
502 N 27TH AVE, PHOENIX, AZ 85009-4420
(602) 258-6797
Mailing address
7212 W LEWIS AVE, PHOENIX, AZ 85035-1342
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-21062
AZ
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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