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NPI 1174172902

NPI 1174172902 : SUZANNE COOPER LPCC : LITTLETON, CO

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General NPI Number Information
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    NPI Number           |    1174172902
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    Entity Type          |    Individual 
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    Provider Name        |    SUZANNE COOPER LPCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/04/2019
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    Last Update Date     |    09/04/2019
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Provider Practice Location Address
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    Address Line         |    7921 SOUTHPARK PLZ STE 204 
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    City                 |    LITTLETON
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    State                |    CO
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    Zip                  |    80120-4506
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    Country              |    US
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    Telephone            |    720-489-8555
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7522 S COVE CIR 
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    City                 |    CENTENNIAL
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    State                |    CO
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    Zip                  |    80122-3333
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    Country              |    US
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    Telephone            |    303-241-6059
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    LPCC.0016887
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    License Number State |    CO
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