Individual
DR. MARY ELIZABETH COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
115 W. RYUS AVE., LA VETA, CO 81055
(719) 742-3704
(719) 742-3704
Mailing address
PO BOX 68, LA VETA, CO 81055-0068
(719) 742-3704
(719) 742-3704
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
121
CO
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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