Individual
ASHLEY NICOLE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LPC
Contact information
Practice address
56 EAST AVE, AUSTIN, TX 78701-4323
(512) 703-1312
(512) 703-1390
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
63652
TX
101YP2500X
Professional Counselor
Primary
63652
TX
Other
Enumeration date
03/29/2010
Last updated
04/07/2015
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