| Cooper Counseling, Pllc | |
|
224 Woodbridge Dr Mount Airy NC 27030-7549 | |
| (336) 970-7301 | |
| Not Available |
| Full Name | Cooper Counseling, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 224 Woodbridge Dr, Mount Airy, North Carolina |
| Authorized Official Name and Position | Jessica Creed Cooper (CLINICAL MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 3369707301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooper Counseling, Pllc 224 Woodbridge Dr Mount Airy NC 27030-7549 Ph: (336) 970-7301 | Cooper Counseling, Pllc 224 Woodbridge Dr Mount Airy NC 27030-7549 Ph: (336) 970-7301 |
| NPI Number | 1205434511 |
|---|---|
| Provider Enumeration Date | 10/09/2020 |
| Last Update Date | 10/09/2020 |
| Certification Date | 10/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205434511 | NPI | - | NPPES |
| 1164932919 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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