| Kelly Cooper Counseling Pllc | |
|
591 Wildrose Cir Lynden WA 98264-9178 | |
| (830) 734-4000 | |
| Not Available |
| Full Name | Kelly Cooper Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 591 Wildrose Cir, Lynden, Washington |
| Authorized Official Name and Position | Kelly Cooper (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 8307344000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Cooper Counseling Pllc 591 Wildrose Cir Lynden WA 98264-9178 Ph: (830) 734-4000 | Kelly Cooper Counseling Pllc 591 Wildrose Cir Lynden WA 98264-9178 Ph: (830) 734-4000 |
| NPI Number | 1871252825 |
|---|---|
| Provider Enumeration Date | 12/16/2021 |
| Last Update Date | 12/16/2021 |
| Certification Date | 12/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871252825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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