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NPI Code Detail

MEDICARE: KAMESHIA COOPER LCPC, LCADC

MEDICARE:   KAMESHIA  COOPER  LCPC, LCADC
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
1101YP2500XProfessional CounselorCP5365NV

General Provider Information

NPI Number : 1750873410
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMESHIA COOPER LCPC, LCADC
Provider Business Mailing Address
First Line : 8390 W WINDMILL LN STE 102&103
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-4420
Country : US
Telephone Number : 702-888-1340
Fax Number : 702-888-1342
Provider Business Practice Location Address
First Line : 6767 W TROPICANA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-4754
Country : US
Telephone Number : 702-209-0370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2018
Last Update Date : 12/17/2025

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Directions to “ KAMESHIA COOPER LCPC, LCADC” Practice Location

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