person
Mr. David Warren Cooper JR., LCDCIII
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1215329883

David Warren Cooper JR. is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). David Warren Cooper JR. practices in Portland, OR and has the professional credentials of LCDCIII. The NPI Number for David Warren Cooper JR. is 1215329883 and holds a License No. LCDC III 161070 (Oregon).

The current practice location address for David Warren Cooper JR. is 10564 Se Washington St, Portland, OR and can be reached out via phone at 503-235-8655.

Location: 10564 Se Washington St, Portland, OR, 97216-2809
person
Provider Profile Details
NPI Number
1215329883
Provider Name
David Warren Cooper JR.
Credential
LCDCIII
Provider Entity Type
Individual
Gender
Male
Address
10564 Se Washington St, Portland, OR, 97216-2809
Phone Number
503-235-8655
Fax Number
Provider Enumeration Date
02/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10564 Se Washington St
City
State
Zip
97216-2809
Phone Number
503-235-8655
Fax Number
person
Provider Business Mailing Address Details
Address
10564 Se Washington St
City
State
Zip
97216-2809
Phone Number
503-235-8655
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCDC III 161070 (Ohio)
Definition
Definition to come...
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