Provider Information for 1295923878
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ANEITA F COOPER PhD, LPC
Sex: Female
NPI: 1295923878
Last Updated: 2024-02-15
Certification Date: 2024-02-15
Certification Date: 2024-02-15
Details
| Name | Value | ||||||||||||
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| NPI | 1295923878 | ||||||||||||
| Enumeration Date | 2007-10-09 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 4752 HIGHWAY 49 S PARAGOULD, AR 72450-8808 United States Phone: 870-240-4225 | Fax:855-933-0240 | ||||||||||||
| Primary Practice Address | 908 W COURT ST PARAGOULD, AR 72450 United States Phone: 702-404-2258 | Fax:855-933-0240 | ||||||||||||
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