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Mr. Lee Charles Cooper
Addiction (Substance Use Disorder) Counselor in Berkeley, California
NPI 1043563612

Lee Charles Cooper is an Addiction (Substance Use Disorder) Counselor based in Berkeley, CA and is specialized in Addiction (Substance Use Disorder). Lee Charles Cooper practices in Berkeley, CA. The NPI Number for Lee Charles Cooper is 1043563612 and holds a License No. (California).

The current practice location address for Lee Charles Cooper is 1931 Center St, Berkeley, CA and can be reached out via phone at 510-666-9552 and via fax at 510-666-0987.

Location: 1931 Center St, Berkeley, CA, 94704-1105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043563612
Provider Name
Lee Charles Cooper
Credential
Provider Entity Type
Individual
Gender
Male
Address
1931 Center St, Berkeley, CA, 94704-1105
Phone Number
510-666-9552
Fax Number
510-666-0987
Provider Enumeration Date
10/19/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000 01 CA AC BHCS CLINICIAN #
institution
Provider Business Practice Location Address Details
Address
1931 Center St
City
Berkeley
State
California
Zip
94704-1105
Phone Number
510-666-9552
Fax Number
510-666-0987
person
Provider Business Mailing Address Details
Address
1931 Center St
City
Berkeley
State
California
Zip
94704-1105
Phone Number
510-666-9552
Fax Number
510-666-0987
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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