Individual provider · Type 1 NPI

Gordon Cooper

Addiction (Substance Use Disorder) Counselor · Greenville, SC

NPI number 1487189858 Active

Practice location

1400 Cleveland St
Greenville, SC 29607-2410

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 1487189858

Gordon Cooper's National Provider Identifier is 1487189858, issued on Apr 24, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Greenville, SC. The record was last updated on Apr 24, 2017.