Individual provider · Type 1 NPI

Ivy Mariah Cooper

Professional Counselor · Las Vegas, NV

NPI number 1285204776 Active

Practice location

6871 W Charleston Blvd
Las Vegas, NV 89117-1600

Call (702) 489-2117 Map

Mailing address

5415 Molise Ct
Las Vegas, NV 89141-7101

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XCP5844 (NV)

Professional Counselor: Definition to come...

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About NPI 1285204776

Ivy Mariah Cooper's National Provider Identifier is 1285204776, issued on Jun 28, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Las Vegas, NV. The record was last updated on Jan 22, 2025.