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Individual

NIESHA COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
220 S BREIEL BLVD, MIDDLETOWN, OH 45044-5106
(513) 849-8670
Mailing address
PO BOX 396, SPRINGBORO, OH 45066-0396

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.2606120
OH
101YP2500X
Professional Counselor
C.2204368
OH

Other

Enumeration date
07/08/2020
Last updated
03/19/2026
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