Individual provider · Type 1 NPI

Candace Cooper, LPC

Professional Counselor · Boise, ID

NPI number 1962063487 Active

Practice location

3350 W Americana Ter Ste 210B
Boise, ID 83706-2521

Mailing address

10416 W Petearana St
Boise, ID 83704-1251

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLCPC-8147 (ID)

Professional Counselor: Definition to come...

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About NPI 1962063487

Candace Cooper, LPC's National Provider Identifier is 1962063487, issued on Jun 25, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Apr 3, 2022.