Individual provider · Type 1 NPI
Shannon Cooper
Addiction (Substance Use Disorder) Counselor · Rochester, NY
NPI number
1508521295
Active
Practice location
81 Lake Ave
Rochester, NY 14608-1410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1508521295
Shannon Cooper's National Provider Identifier is 1508521295, issued on Nov 8, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rochester, NY. The record was last updated on Nov 8, 2021.