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NPI Code Detail

MEDICARE: MRS. JORDAN COOPER LPC

MEDICARE:  MRS. JORDAN  COOPER  LPC
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
1101YM0800XMental Health CounselorLPC05169AL

General Provider Information

NPI Number : 1700500931
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JORDAN COOPER LPC
Provider Business Mailing Address
First Line : 521 WOODS COVE RD
Second Line :
City : SCOTTSBORO
State : AL
Zip : 35768-4930
Country : US
Telephone Number : 256-223-7270
Fax Number :
Provider Business Practice Location Address
First Line : 521 WOODS COVE RD
Second Line :
City : SCOTTSBORO
State : AL
Zip : 35768-4930
Country : US
Telephone Number : 256-223-7270
Fax Number : 256-223-7271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2022
Last Update Date : 09/04/2025

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Directions to “ MRS. JORDAN COOPER LPC” Practice Location

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