MEDICARE: MS. VALERIE ALEXIS COOPER L.P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2671	OK

General Provider Information

NPI Number	:	1134255664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VALERIE ALEXIS COOPER L.P.C.

Provider Business Mailing Address
First Line	:	4000 NW 57TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-1604
Country	:	US
Telephone Number	:	405-947-4305
Fax Number	:

Provider Business Practice Location Address
First Line	:	4200 PERIMETER CENTER DR
Second Line	:	SUITE 245
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-2324
Country	:	US
Telephone Number	:	405-659-7333
Fax Number	:	405-943-5850

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	01/18/2024

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