Individual
KOREN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPCA
Contact information
Practice address
9132 FISHERS POND DR UNIT D2, CHARLOTTE, NC 28277-0167
(847) 913-4166
Mailing address
6115 HICKORY GROVE RD, CHARLOTTE, NC 28215-4207
(847) 913-4166
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A14620
NC
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
03/14/2019
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