| Sandra Cooper, Rn, Lpcmh, Llc | |
|
2644 Kirkwood Hwy., Suite 320 Newark DE 19711 | |
| (302) 738-4539 | |
| (302) 266-0881 |
| Full Name | Sandra Cooper, Rn, Lpcmh, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2644 Kirkwood Hwy., Suite 320, Newark, Delaware |
| Authorized Official Name and Position | Sandra Cooper (OWNER/) |
| Authorized Official Contact | 3027384539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Cooper, Rn, Lpcmh, Llc 8 Aldridge Ct Newark DE 19702-2154 Ph: (302) 738-4539 | Sandra Cooper, Rn, Lpcmh, Llc 2644 Kirkwood Hwy., Suite 320 Newark DE 19711 Ph: (302) 738-4539 |
| NPI Number | 1164993143 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 12/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164993143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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