Individual
KRYSTAL MARYSA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGMFT
Contact information
Practice address
6440 DOBBIN RD STE D, COLUMBIA, MD 21045-4770
(410) 730-2385
Mailing address
6716 COZY LN, ELKRIDGE, MD 21075-5825
(301) 395-0148
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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