Individual provider · Type 1 NPI

Matthew Shawn Cooper Jr., M.A. LPC

Professional Counselor · Bixby, OK

NPI number 1295930329 Active

Practice location

12415 E 191st St S
Bixby, OK 74008-6600

Call (539) 664-6602 Map

Fax (918) 364-1904

Mailing address

PO Box 4155
Tulsa, OK 74159-0155

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4999 (OK)

Professional Counselor: Definition to come...

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About NPI 1295930329

Matthew Shawn Cooper Jr., M.A. LPC's National Provider Identifier is 1295930329, issued on Jun 19, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bixby, OK. The record was last updated on Sep 20, 2013.