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Individual

MRS. LISA COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
10812 CARDINAL CIR, PLYMOUTH, IN 46563-7968
(317) 449-9418
(574) 800-4114
Mailing address
10812 CARDINAL CIR, PLYMOUTH, IN 46563-7968
(317) 449-9418
(574) 800-4114

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
34008179A
IN
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor

Other

Enumeration date
05/24/2018
Last updated
04/25/2024
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