Individual provider · Type 1 NPI

Charles Dwayne Cooper

Addiction (Substance Use Disorder) Counselor · Canoga Park, CA

NPI number 1255590956 Active

Practice location

22030 Sherman Way
Canoga Park, CA 91303-1855

Call (818) 340-0230 Map

Mailing address

676 S Central Ave
Los Angeles, CA 90021-1039

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1255590956

Charles Dwayne Cooper's National Provider Identifier is 1255590956, issued on Jun 6, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canoga Park, CA. The record was last updated on Jun 6, 2008.