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Ian Cooper, CADC-III
Addiction (Substance Use Disorder) Counselor in Berkeley, California
NPI 1629616537

Ian Cooper is an Addiction (Substance Use Disorder) Counselor based in Richmond, CA and is specialized in Addiction (Substance Use Disorder). Ian Cooper practices in Berkeley, CA and has the professional credentials of CADC-III. The NPI Number for Ian Cooper is 1629616537 and holds a License No. CI09530917 (California).

The current practice location address for Ian Cooper is 1820 Scenic Ave, Berkeley, CA and can be reached out via phone at 510-548-7270.

Location: 1820 Scenic Ave, Berkeley, CA, 94805-1411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629616537
Provider Name
Ian Cooper
Credential
CADC-III
Provider Entity Type
Individual
Gender
Male
Address
1820 Scenic Ave, Berkeley, CA, 94805-1411
Phone Number
510-548-7270
Fax Number
Provider Enumeration Date
12/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1820 Scenic Ave
City
Berkeley
State
California
Zip
94709-1324
Phone Number
510-548-7270
Fax Number
person
Provider Business Mailing Address Details
Address
1820 Scenic Ave
City
Berkeley
State
California
Zip
94709-1324
Phone Number
510-548-7270
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CI09530917 (California)
Definition
Definition to come...
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