MEDICARE: MONICA MICHELLE 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
1	101YP2500X	Professional Counselor	0701014620	VA

General Provider Information

NPI Number	:	1952839284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA MICHELLE COOPER LPC

Provider Business Mailing Address
First Line	:	175 ROUTE 70 STE 303
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-0954
Country	:	US
Telephone Number	:	804-446-1710
Fax Number	:

Provider Business Practice Location Address
First Line	:	1719 BELLEVUE AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23227-3901
Country	:	US
Telephone Number	:	804-262-7364
Fax Number	:

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

Provider Enumeration Date	:	05/31/2017
Last Update Date	:	04/14/2026

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