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NPI Code Detail

MEDICARE: CHRISTOPHER SCOTT COOPER CDCA

MEDICARE: CHRISTOPHER SCOTT COOPER CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1306335476
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER SCOTT COOPER CDCA
Provider Business Mailing Address
First Line : 1354 JACKSON PIKE
Second Line :
City : GALLIPOLIS
State : OH
Zip : 45631-2601
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1354 JACKSON PIKE
Second Line :
City : GALLIPOLIS
State : OH
Zip : 45631-2601
Country : US
Telephone Number : 740-441-9800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2018
Last Update Date : 05/04/2018

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Directions to “ CHRISTOPHER SCOTT COOPER CDCA” Practice Location

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