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NPI Code Detail

MEDICARE: LAURA DEGUIRE COOPER LPC

MEDICARE:   LAURA DEGUIRE 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
1101Y00000XCounselor60230TX

General Provider Information

NPI Number : 1336677376
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA DEGUIRE COOPER LPC
Provider Business Mailing Address
First Line : 3506 WEST AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1112
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3506 WEST AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1112
Country : US
Telephone Number : 512-365-4893
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2017
Last Update Date : 06/02/2017

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Directions to “ LAURA DEGUIRE COOPER LPC” Practice Location

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