MEDICARE: DENIS A COOPER BS, CNHP

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1972844892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENIS A COOPER BS, CNHP

Provider Business Mailing Address
First Line	:	7537 EVENING FALLS DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-2520
Country	:	US
Telephone Number	:	702-666-5513
Fax Number	:	702-463-1466

Provider Business Practice Location Address
First Line	:	7537 EVENING FALLS DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-2520
Country	:	US
Telephone Number	:	702-666-5513
Fax Number	:	702-463-1466

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

Provider Enumeration Date	:	03/04/2013
Last Update Date	:	03/04/2013

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