| NPI | 1124410915 |
|---|---|
| Former Legal Business Name | COOPER COUNSELING & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SHELLEY LEE COOPER Owner/Clinician 203-722-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007982) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2017-04-05 |