person
Derek Kevin Cooper
Mental Health Counselor in Ellicott City, Maryland
NPI 1568005130

Derek Kevin Cooper is a Mental Health Counselor based in Laurel, MD and is specialized in Mental Health. Derek Kevin Cooper practices in Ellicott City, MD. The NPI Number for Derek Kevin Cooper is 1568005130 and holds a License No. LGP9653 (Maryland).

The current practice location address for Derek Kevin Cooper is 5058 Dorsey Hall Dr Ste 103, Ellicott City, MD and can be reached out via phone at 410-884-9200 and via fax at 443-288-4582.

Location: 5058 Dorsey Hall Dr Ste 103, Ellicott City, MD, 20708-1257
person
Provider Profile Details
NPI Number
1568005130
Provider Name
Derek Kevin Cooper
Credential
Provider Entity Type
Individual
Gender
Male
Address
5058 Dorsey Hall Dr Ste 103, Ellicott City, MD, 20708-1257
Phone Number
410-884-9200
Fax Number
443-288-4582
Provider Enumeration Date
10/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5058 Dorsey Hall Dr Ste 103
City
State
Zip
21042-7850
Phone Number
410-884-9200
Fax Number
443-288-4582
person
Provider Business Mailing Address Details
Address
5058 Dorsey Hall Dr Ste 103
City
State
Zip
21042-7850
Phone Number
410-884-9200
Fax Number
443-288-4582
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LGP9653 (Maryland)
Definition
Definition to come...
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