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Individual

JESSICA ELAYNE COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
805 N 6TH ST, SHEBOYGAN, WI 53081-4113
(920) 457-8867
Mailing address
6521 HIDDEN FIELDS CT, SHEBOYGAN, WI 53081-9101
(515) 491-8512

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7648-226
WI

Other

Enumeration date
10/11/2023
Last updated
10/11/2023
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