Cooper, Connie

Cooper, Connie is an sole proprietor health care provider with primary practice located at 6201 W Olive Ave Apt 1233 , Glendale AZ 85302-4538. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Cooper, Connie can be contacted via phone (231) 350-6888.

Contact Information

Primary practice address
6201 W Olive Ave Apt 1233 Glendale AZ 85302-4538
Phone: (231) 350-6888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1295592954
LBN Legal business name Cooper, Connie
Credentials MA CCTSI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 29th, 2024
Last updated Feb 29th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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