Individual
JERRAD COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
(928) 773-8100
Mailing address
3285 E SPARROW AVE, FLAGSTAFF, AZ 86004-7794
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
LPC-21537
AZ
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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