Christal June Cooper, LMSW

NPI #1912485772 in Nampa, Idaho

Provider Information

NPI Number
1912485772
Entity Type
Individual
Name
Christal June Cooper, LMSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LMSW
Enumeration Date
Aug 3, 2018
Last Updated
Aug 3, 2018

Practice Location

Address
823 PARKCENTRE WAY
City
Nampa
State
Idaho
ZIP Code
83651-1783
Phone
(208) 475-5065

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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