Individual
MS. DEANNA R COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ART, LMHC
Contact information
Practice address
14 PORTER ST, EAST BOSTON, MA 02128-2116
(617) 569-3189
(617) 569-7890
Mailing address
33 MYRTLE ST, APT. 1, MELROSE, MA 02176-3805
(617) 584-9109
(617) 569-3516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6032
MA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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