| Doctor Name: | PETE COOPER |
| NPI Number: | 1013346477 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, LPC |
| License Number: | 5137 |
| Business Practice Address: | 2000 N Causeway Blvd Suite B Mandeville, LA - 704713154 |
| Business Phone Number: | 9858821233 |
| Business Fax Number: | 9850896909 |
| Mailing Address: | 2000 N Causeway Blvd Ste B, Suite B MANDEVILLE |
| State: | LA |
| Postal Code: | 704713173 |
| Phone Number: | 9858821233 |
| Fax Number: | 9858096909 |
| NPI Enumeration Date: | 11/06/2013 |
| NPI Last Update Date: | 04/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 5137 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |