Carl Wesley Cooper SR.

NPI #1639862436 in Citra, Florida

Provider Information

NPI Number
1639862436
Entity Type
Individual
Name
Carl Wesley Cooper SR.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
May 30, 2023
Last Updated
May 30, 2023

Practice Location

Address
15681 N US HIGHWAY 301
City
Citra
State
Florida
ZIP Code
32113-3154
Phone
(352) 595-5000

Specialties & Taxonomy Codes

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

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