Individual provider · Type 1 NPI

Clayton E. Cooper

Addiction (Substance Use Disorder) Counselor · Tishomingo, OK

NPI number 1942545991 Active

Practice location

801 E Main St
Tishomingo, OK 73460-2351

Call (580) 371-3776 Map

Fax (580) 371-2056

Mailing address

200 Michelle Dr
Poteau, OK 74953-2083

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 1942545991

Clayton E. Cooper's National Provider Identifier is 1942545991, issued on Dec 3, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tishomingo, OK. The record was last updated on Dec 3, 2012.