Individual provider · Type 1 NPI

Jaykano Cooper, LICDC, LPC

Addiction (Substance Use Disorder) Counselor · Ironton, OH

NPI number 1447733514 Active

Practice location

700 Park Ave
Ironton, OH 45638-1502

Fax (740) 532-1715

Mailing address

PO Box 108
Ironton, OH 45638-0108

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XC.2506755 (OH)
Case Manager/Care Coordinator 171M00000XCDCA.172087 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLICDC.162775 (OH)

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About NPI 1447733514

Jaykano Cooper, LICDC, LPC's National Provider Identifier is 1447733514, issued on Sep 13, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ironton, OH. The record was last updated on Feb 24, 2025.