Individual
JAMILA RASHIDA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
241 GRANT ST, WEST END, NC 27376-8377
(910) 483-5986
Mailing address
70 TANAWHA CT, SPRING LAKE, NC 28390-6400
(408) 204-0153
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A14281
NC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/08/2019
Last updated
08/07/2020
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