Individual
MRS. STACEY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QBHP
Contact information
Practice address
3811 ROGERS AVE, FORT SMITH, AR 72903-3045
(479) 785-4083
(479) 434-6408
Mailing address
620 S 21ST ST, FORT SMITH, AR 72901-3915
(479) 785-4083
(479) 434-6408
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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