Individual
ALISHA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5200 PARK ROAD, 131, CHARLOTTE, NC 28209-3650
(980) 355-5014
Mailing address
338 S SHARON AMITY RD, #118, CHARLOTTE, NC 28211-2806
(704) 890-9559
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7395
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104248
—
NC
Enumeration date
07/27/2009
Last updated
04/02/2010
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