DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MS. FREDDIE MAE COOPER

MEDICARE: MS. FREDDIE MAE COOPER
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 : 1356651509
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. FREDDIE MAE COOPER
Provider Business Mailing Address
First Line : 9600 DEXTER AVE
Second Line :
City : DETROIT
State : MI
Zip : 48206-1816
Country : US
Telephone Number : 313-894-4879
Fax Number : 313-894-6312
Provider Business Practice Location Address
First Line : 9600 DEXTER AVE
Second Line :
City : DETROIT
State : MI
Zip : 48206-1816
Country : US
Telephone Number : 313-894-4879
Fax Number : 313-894-6312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2010
Last Update Date : 10/20/2010

Similar Medicare Providers

1235196023 — MS. ANGELA LYNN ROMAN APRN, BC, FNP
Practice Location Address:
9600 DEXTER AVE
DETROIT, MI
48206-1816
Practice Phone: 313-894-7881
Practice Fax: 313-894-6312
1083631725 — NORTHWEST HOUSECALL DOCTOR & NURSE PRACTITIONERS
Practice Location Address:
9600 DEXTER AVE
DETROIT, MI
48206-1816
Practice Phone: 313-623-2813
Practice Fax: 248-218-1888
1821112103 — NORTHWEST INDUSTRIAL DRUG REHABILITATION CLINIC
Practice Location Address:
9600 DEXTER AVE
DETROIT, MI
48206-1816
Practice Phone: 313-894-6379
Practice Fax:
1346364619 — NORTHWEST INDUSTRIAL AND MEDICAL SERVICES PC
Practice Location Address:
9600 DEXTER AVE
DETROIT, MI
48206-1816
Practice Phone: 313-894-7881
Practice Fax:
1306060736 — MS. MAE FRANCES MARTIN CAC
Practice Location Address:
9600 DEXTER AVE
DETROIT, MI
48206-1816
Practice Phone: 313-894-4879
Practice Fax: 313-894-6312
1306164140 — KOACH3 INC
Practice Location Address:
9600 DEXTER AVE
DETROIT, MI
48206-1816
Practice Phone: 313-870-9201
Practice Fax: 313-870-9207

Directions to “ MS. FREDDIE MAE COOPER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.