Karen Cooper | La Mesa, CA • PECOS Search

Karen Cooper

Marriage & Family Therapist

Behavioral Health & Social Service Providers

4700 Spring St Ste 204, La Mesa, CA 91942-0273

(858) 668-8534 (858) 735-4905

PECOS Enrollment

Based on the most recent information from CMS, provider Karen Cooper does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1740585264
Provider Type
Individual
Full Name
Cooper, Karen
Title
Ms.
Credential
LMFT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/13/2011
Last Updated
10/16/2021

Contact Information

Practice Location

4700 Spring St Ste 204, La Mesa, CA 91942-0273

Unlisted Fax

Mailing Location

6353 Estrella Ave, San Diego, CA 92120-3641

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 53862 California