Individual provider · Type 1 NPI

Patricia Ann Cooper I

Addiction (Substance Use Disorder) Counselor · San Luis Obispo, CA

NPI number 1649463894 Active

Practice location

285 South St, Suite M
San Luis Obispo, CA 93401-5037

Mailing address

PO Box 1723
Paso Robles, CA 93447-1723

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 1649463894

Patricia Ann Cooper I's National Provider Identifier is 1649463894, issued on Aug 21, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Luis Obispo, CA. The record was last updated on Feb 19, 2008.