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Individual

MR. LYLE KEITH COOPER II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
3533 GULF SHORES PKWY STE A1, GULF SHORES, AL 36542-2823
(251) 207-1104
Mailing address
3533 GULF SHORES PKWY STE A1, GULF SHORES, AL 36542-2823
(251) 207-1104

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC05329
AL

Other

Enumeration date
07/30/2024
Last updated
07/30/2024
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