Individual provider · Type 1 NPI

Staci Cooper, LCPC

Mental Health Counselor · Boise, ID

NPI number 1629228663 Active

Practice location

410 S Orchard St. Ste 140
Boise, ID 83705-1288

Call (986) 686-6548 Map

Fax (844) 845-7650

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCPC-4487 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1629228663

Staci Cooper, LCPC's National Provider Identifier is 1629228663, issued on Sep 26, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Apr 23, 2024.