| Doctor Name: | JULIE COOPER |
| NPI Number: | 1023476264 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CADC |
| License Number: | 13085 |
| Business Practice Address: | 306 E Coolbaugh St Red Oak, IA - 515662364 |
| Business Phone Number: | 7123571182 |
| Business Fax Number: | |
| Mailing Address: | 1113 205th St, NODAWAY |
| State: | IA |
| Postal Code: | 508577531 |
| Phone Number: | 4026725063 |
| Fax Number: | |
| NPI Enumeration Date: | 02/02/2016 |
| NPI Last Update Date: | 02/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 13085 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |