Individual provider · Type 1 NPI

Kerry Cooper, CASAC

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1710056726 Active

Practice location

3584 Jerome Ave
Bronx, NY 10467-1006

Call (718) 653-1537 Map

Fax (718) 882-1426

Mailing address

PO Box 31094
Hartford, CT 06154-0001

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X12174 (NY)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1710056726

Kerry Cooper, CASAC's National Provider Identifier is 1710056726, issued on Nov 6, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on Mar 13, 2009.