Individual
MS. REBECCA LEE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1990 E. LOHMAN AVE, STE.214, LAS CRUCES, NM 88001
(575) 556-4580
(575) 800-0385
Mailing address
1990 E. LOHMAN AVE, STE.214, LAS CRUCES, NM 88001
(575) 556-4580
(575) 800-0385
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M-09321
NM
1041C0700X
Clinical Social Worker
Primary
LCSW
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29954002
—
NM
Enumeration date
03/11/2016
Last updated
07/07/2021
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