Brenda Sue Cooper, CDCA 168347
Counselor, Professional in Marion, OH. Individual provider (NPI-1).
NPI number1508418211
StatusActive
Last updated in NPPESJul 12, 2019
Details
- NPI
- 1508418211
- Entity type
- Individual (NPI-1)
- Name
- Brenda Sue Cooper
- Credential
- CDCA 168347
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 12, 2019
- Last updated
- Jul 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 168347 | OH | Yes |
Practice location
546 Pearl StMarion, OH 43302-4956
Phone 740-244-7680
Mailing address
546 Pearl StMarion, OH 43302-4956
Phone 740-244-7680
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