Stacie Lyn Cooper
Mental Health Counselor
26891 Spring St
San Juan Capistrano
, California 92675-2692
Stacie Lyn Cooper
Mental Health Counselor
26891 Spring St
San Juan Capistrano
, California 92675-2692
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Stacie Lyn Cooper
- 26891 Spring St
- San Juan Capistrano, CA
- Zip : 92675-2692
- Phone :
Second Address
- Stacie Lyn Cooper
- 26891 Spring St
- San Juan Capistrano, CA
- Zip : 92675-2692
- Phone : (949) 361-7892
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor |
National Provider Identifier
| NPI | 1003044306 |
|---|---|
| Provider Name | Stacie Lyn Cooper |
| First Address | San Juan Capistrano, CA 92675-2692 |
| Second Address | San Juan Capistrano, CA 92675-2692 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2009 |
| Last Update Date | 24/06/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.