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Mary Cooper, LCSW
Mental Health Counselor in Checotah, Oklahoma
NPI 1124300769

Mary Cooper is a Mental Health Counselor based in Checotah, OK and is specialized in Mental Health. Mary Cooper practices in Checotah, OK and has the professional credentials of LCSW. The NPI Number for Mary Cooper is 1124300769 and holds a License No. (Oklahoma).

The current practice location address for Mary Cooper is 229 W Gentry Ave, Checotah, OK and can be reached out via phone at 918-473-1575.

Location: 229 W Gentry Ave, Checotah, OK, 74426-5035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124300769
Provider Name
Mary Cooper
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
229 W Gentry Ave, Checotah, OK, 74426-5035
Phone Number
918-473-1575
Fax Number
Provider Enumeration Date
09/09/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007745880 05 OK
institution
Provider Business Practice Location Address Details
Address
229 W Gentry Ave
City
Checotah
State
Oklahoma
Zip
74426-2439
Phone Number
918-473-1575
Fax Number
person
Provider Business Mailing Address Details
Address
229 W Gentry Ave
City
Checotah
State
Oklahoma
Zip
74426-2439
Phone Number
918-473-1575
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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