Individual provider · Type 1 NPI

Christal June Cooper, LMSW

Professional Counselor · Nampa, ID

NPI number 1912485772 Active

Practice location

823 Parkcentre Way
Nampa, ID 83651-1783

Fax (208) 463-0972

Mailing address

11510 W 1st St
Star, ID 83669-5267

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLMSW-28189 (ID)

Professional Counselor: Definition to come...

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About NPI 1912485772

Christal June Cooper, LMSW's National Provider Identifier is 1912485772, issued on Aug 3, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Nampa, ID. The record was last updated on Aug 3, 2018.