Individual provider · Type 1 NPI

Jennifer Cooper, LPC, CADCII

Professional Counselor · Portland, OR

NPI number 1063759231 Active

Practice location

3500 NE Mlk Blvd Ste 200
Portland, OR 97212-2093

Call (503) 237-8205 Map

Mailing address

1604A NE 59th Ave
Portland, OR 97213-4244

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X10R21 (OR)
Professional Counselor Primary 101YP2500XC3479 (OR)

Professional Counselor: Definition to come...

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About NPI 1063759231

Jennifer Cooper, LPC, CADCII's National Provider Identifier is 1063759231, issued on Jan 8, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Mar 13, 2026.