Provider Demographics
NPI:1053596940
Name:COOPER, KARA A (LH60991410)
Entity type:Individual
Prefix:MS
First Name:KARA
Middle Name:A
Last Name:COOPER
Suffix:
Gender:F
Credentials:LH60991410
Other - Prefix:MS
Other - First Name:KARA
Other - Middle Name:AUBREY
Other - Last Name:LEOPARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISCENED COUNSELOR
Mailing Address - Street 1:23608B 62ND AVE E
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98338-9418
Mailing Address - Country:US
Mailing Address - Phone:063-040-6662
Mailing Address - Fax:
Practice Address - Street 1:16000 CHISTENSEN RD SUITE 200
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188
Practice Address - Country:US
Practice Address - Phone:360-280-4969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-09
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60991410101YM0800X, 101YM0800X
WA101YM0800X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health