person
Ms. Jane Roberta Cooper, LICENSEDPROFESSIONA
Professional Counselor in Middletown, Connecticut
NPI 1093891327

Jane Roberta Cooper is a Professional Counselor based in Middletown, CT and is specialized in Professional. Jane Roberta Cooper practices in Middletown, CT and has the professional credentials of LICENSEDPROFESSIONA. The NPI Number for Jane Roberta Cooper is 1093891327 and holds a License No. 000320 (Connecticut).

The current practice location address for Jane Roberta Cooper is 120 College Street, Middletown, CT and can be reached out via phone at 860-346-8889.

Location: 120 College Street, Middletown, CT, 06457-3426
person
Provider Profile Details
NPI Number
1093891327
Provider Name
Jane Roberta Cooper
Credential
LICENSEDPROFESSIONA
Provider Entity Type
Individual
Gender
Female
Address
120 College Street, Middletown, CT, 06457-3426
Phone Number
860-346-8889
Fax Number
Provider Enumeration Date
10/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
240000320CT01 01 CT ANTHEM BLUE CROSS BS CT
institution
Provider Business Practice Location Address Details
Address
120 College Street
City
State
Zip
06457-3426
Phone Number
860-346-8889
Fax Number
person
Provider Business Mailing Address Details
Address
120 College Street
City
State
Zip
06457-3426
Phone Number
860-346-8889
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
000320 (Connecticut)
Definition
Definition to come...
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