Individual provider · Type 1 NPI
Jackie Lou Cooper, CADC 1
Addiction (Substance Use Disorder) Counselor · Klamath Falls, OR
NPI number
1184921926
Active
Practice location
2210 N Eldorado Ave
Klamath Falls, OR 97601-6418
Fax (541) 884-2338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 10-06-51U (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1184921926
Jackie Lou Cooper, CADC 1's National Provider Identifier is 1184921926, issued on Feb 14, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Klamath Falls, OR. The record was last updated on Mar 22, 2016.