Provider Demographics
NPI:1174172902
Name:COOPER, SUZANNE (LPCC)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:COOPER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7522 S COVE CIR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-3333
Mailing Address - Country:US
Mailing Address - Phone:303-241-6059
Mailing Address - Fax:
Practice Address - Street 1:7921 SOUTHPARK PLZ STE 204
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4506
Practice Address - Country:US
Practice Address - Phone:720-489-8555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0016887101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional