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Organization

GUY COOPER PLLC

Active
Other names
Infinity Counseling Services
Organization subpart
No

Provider details

NPI number
Authorized official
GUY CALDERON COOPER M.S., LCPC (CHIEF EXECUTIVE OFFICER)
(702) 645-4919
Entity
Organization

Contact information

Practice address
8228 CHIMNEY BLUFFS ST, NORTH LAS VEGAS, NV 89085-4412
(702) 645-4919
(702) 645-4919
Mailing address
8228 CHIMNEY BLUFFS ST, NORTH LAS VEGAS, NV 89085-4412
(702) 645-4919
(702) 645-4919

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CP0079
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12038643
CAQH
NV
05
1205164290
NV
Enumeration date
01/28/2014
Last updated
01/28/2014
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