Individual provider · Type 1 NPI

Kendra Michelle Cooper, BHP, LAC

Counselor · Phoenix, AZ

NPI number 1710798962 Active

Practice location

502 N 27th Ave
Phoenix, AZ 85009-4420

Mailing address

7212 W Lewis Ave
Phoenix, AZ 85035-1342

Other practice locations

  • 3807 N 7th St, Phoenix, AZ 85014-5005 · (602) 258-6797

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLAC-21062 (AZ)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1710798962

Kendra Michelle Cooper, BHP, LAC's National Provider Identifier is 1710798962, issued on Jan 16, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 16, 2025.