MISS WANDA MICHELLE COOPER (NPI# 1770643348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770643348 |
| Entity Type | Individual |
| Full Name | MISS WANDA MICHELLE COOPER |
| Practice Address |
17130 Sequoia Ave Suite 103 Hesperia CA 92395-1827 |
| Mailing Address |
17130 Sequoia St Suite 103 Hesperia CA 92345-1403 |
| Practice Telephone | 7609491939 |
| Practice Fax Number | 7609491970 |
| Mailing Telephone | 7609491939 |
| Mailing Fax Number | 7609491970 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2016-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 50136 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427258284 | Wanda S. Cooper | Licensed Practical Nurse | 2722 Stetson Ln, Houston, TX 77043-1806 | 2007-07-20 |
| Street Address |
17130 SEQUOIA AVE SUITE 103 |
| City | HESPERIA |
| State | CA |
| Zip Code | 92395-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135531 | Lindsey Nicole Lopez | Marriage & Family Therapist | 10918 Hesperia Rd Ste Be, Hesperia, CA 92345-2151 | 2020-02-11 |
| 1629428693 | Samuel Salgado Jr. | Marriage & Family Therapist | 17130 Sequoia St Ste 204, Hesperia, CA 92345-1827 | 2016-06-20 |
| 1679934756 | Marybel Gonzalez | Marriage & Family Therapist | 17130 Sequoia St Ste 103, Hesperia, CA 92345-1827 | 2016-03-16 |
| 1518328053 | Kasey Andruski | Marriage & Family Therapist | 17096 Sequoia St Ste 112, Hesperia, CA 92345-1410 | 2016-03-11 |
| 1740654409 | Susan Wright | Marriage & Family Therapist | 10171 Peach Ave, Hesperia, CA 92345-5556 | 2015-11-18 |
| 1447654256 | Diana Grace Chilstrom | Marriage & Family Therapist | 11776 Mariposa Road, Hesperia, CA 92345 | 2014-10-22 |
| 1477971810 | Therapeutic Solution Counseling Center | Marriage & Family Therapist | 16377 Main St Ste C, Hesperia, CA 92345-3567 | 2014-04-02 |
| 1376976266 | Charlene Sims | Marriage & Family Therapist | 15729 Main St, Hesperia, CA 92345-3400 | 2013-08-14 |
| 1265715940 | Alexander Valenzuela | Marriage & Family Therapist | 15010 Fir St, Hesperia, CA 92345-4316 | 2011-09-20 |
| 1003117391 | Kristelina Gonzalez | Marriage & Family Therapist | 7236 Hawthorne Rd, Hesperia, CA 92345-8542 | 2010-11-03 |
| Find all providers in HESPERIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.