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DR. MARY ELIZABETH COOPER PH.D.

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1780891796

Individual Registrant:
DR. MARY ELIZABETH COOPER PH.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
115 W. RYUS AVE.  LA VETA, CO 81055 US
Tel: 719-742-3704  Fax: 719-742-3704

Contact information for business:
PO BOX 68  LA VETA, CO 81055-0068 US
Tel: 719-742-3704  Fax: 719-742-3704

Registration Information:
NPI: 1780891796
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CO121

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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