Individual provider · Type 1 NPI

Ian Cooper, CADC-III

Addiction (Substance Use Disorder) Counselor · Berkeley, CA

NPI number 1629616537 Active

Practice location

1820 Scenic Ave
Berkeley, CA 94709-1324

Call (510) 548-7270 Map

Mailing address

5135 Solano Ave
Richmond, CA 94805-1411

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCI09530917 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XB001690523 (CA)

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

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About NPI 1629616537

Ian Cooper, CADC-III's National Provider Identifier is 1629616537, issued on Dec 11, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Berkeley, CA. The record was last updated on Jun 2, 2023.