Individual
KATHRYN L COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1840 S STAPLEY DR STE 101, MESA, AZ 85204-6682
(800) 233-3264
Mailing address
2235 E HARMONY AVE, MESA, AZ 85204-6135
(480) 381-5815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-16602
AZ
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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