MRS. Jackie Lou Cooper, CADC 1

NPI #1184921926 in Klamath Falls, Oregon

Provider Information

NPI Number
1184921926
Entity Type
Individual
Name
MRS. Jackie Lou Cooper, CADC 1
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CADC 1
Enumeration Date
Feb 14, 2011
Last Updated
Mar 22, 2016

Practice Location

Address
2210 N ELDORADO AVE
State
Oregon
ZIP Code
97601-6418
Phone
(541) 883-1030

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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