Individual
MRS. BONNIE M COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
970 HOPE ST, BRISTOL, RI 02809-5210
(401) 253-7575
(401) 254-1733
Mailing address
17 ECHO DR, BARRINGTON, RI 02806-2807
(401) 245-8995
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00031
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30495#9
BLUE CROSS/BLUE SHIELD
RI
Enumeration date
06/22/2006
Last updated
07/08/2007
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