Individual provider · Type 1 NPI

Mary Cooper, LCSW

Mental Health Counselor · Checotah, OK

NPI number 1124300769 Active

Practice location

229 W Gentry Ave
Checotah, OK 74426-2439

Call (918) 473-1575 Map

Mailing address

313 SE 1st St
Checotah, OK 74426-5035

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124300769

Mary Cooper, LCSW's National Provider Identifier is 1124300769, issued on Sep 9, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Checotah, OK. The record was last updated on Dec 18, 2019.