Individual provider · Type 1 NPI

Stacie Lyn Cooper, PSY.D.

Mental Health Counselor · San Juan Capistrano, CA

NPI number 1003044306 Active

Practice location

26891 Spring St
San Juan Capistrano, CA 92675-2692

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003044306

Stacie Lyn Cooper, PSY.D.'s National Provider Identifier is 1003044306, issued on Jun 24, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Juan Capistrano, CA. The record was last updated on Jun 24, 2009.