| Doctor Name: | RHONDA E COOPER |
| NPI Number: | 1659580934 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | AP00942391 |
| Business Practice Address: | 5480 Big Tyler Rd Cross Lanes, WV - 253131116 |
| Business Phone Number: | 3047762311 |
| Business Fax Number: | 3047763779 |
| Mailing Address: | 5480 Big Tyler Rd, CROSS LANES |
| State: | WV |
| Postal Code: | 253131116 |
| Phone Number: | 3047762311 |
| Fax Number: | 3047763779 |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 08/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | AP00942391 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |