Individual
CHARITY RUTH COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
15-1763 5TH AVE., KEAAU, HI 96749-2904
(808) 690-7371
Mailing address
PO BOX 492904, KEAAU, HI 96749-2904
(808) 690-7371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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