Provider Demographics
NPI:1225813157
Name:COOPER, CHRISTINA
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:COOPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 SUNNYVIEW OVAL
Mailing Address - Street 2:
Mailing Address - City:KEASBEY
Mailing Address - State:NJ
Mailing Address - Zip Code:08832-1041
Mailing Address - Country:US
Mailing Address - Phone:551-232-7012
Mailing Address - Fax:
Practice Address - Street 1:1013 SUNNYVIEW OVAL
Practice Address - Street 2:
Practice Address - City:KEASBEY
Practice Address - State:NJ
Practice Address - Zip Code:08832-1041
Practice Address - Country:US
Practice Address - Phone:551-232-7012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health