Individual
GLEN M COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
807 W 7TH AVE, SPOKANE, WA 99204-2808
(509) 455-7654
(509) 455-4112
Mailing address
807 W 7TH AVE, SPOKANE, WA 99204-2808
(509) 455-7654
(509) 455-4112
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00001258
WA
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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