Individual provider · Type 1 NPI

Gary Taylor Cooper, BS, CADC-I

Addiction (Substance Use Disorder) Counselor · Salem, OR

NPI number 1497175392 Active

Practice location

3325 Harold Dr NE
Salem, OR 97305-1339

Call (503) 399-5597 Map

Fax (503) 316-9740

Mailing address

PO Box 17818
Salem, OR 97305-7818

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 1497175392

Gary Taylor Cooper, BS, CADC-I's National Provider Identifier is 1497175392, issued on Apr 18, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salem, OR. The record was last updated on Apr 18, 2014.