Individual provider · Type 1 NPI
Candace Bryant Cooper
Mental Health Counselor · Federal Way, WA
NPI number
1639344260
Active
Practice location
33919 9th Ave S Ste 209
Federal Way, WA 98003-6724
Mailing address
PO Box 23884
Federal Way, WA 98093-0884
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LW00006516 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1639344260
Candace Bryant Cooper's National Provider Identifier is 1639344260, issued on Apr 24, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Federal Way, WA. The record was last updated on Nov 8, 2021.