person
Clayton E Cooper
Addiction (Substance Use Disorder) Counselor in Tishomingo, Oklahoma
NPI 1942545991

Clayton E Cooper is an Addiction (Substance Use Disorder) Counselor based in Poteau, OK and is specialized in Addiction (Substance Use Disorder). Clayton E Cooper practices in Tishomingo, OK. The NPI Number for Clayton E Cooper is 1942545991 and holds a License No. (Oklahoma).

The current practice location address for Clayton E Cooper is 801 E Main St, Tishomingo, OK and can be reached out via phone at 580-371-3776 and via fax at 580-371-2056.

Location: 801 E Main St, Tishomingo, OK, 74953-2083
person
Provider Profile Details
NPI Number
1942545991
Provider Name
Clayton E Cooper
Credential
Provider Entity Type
Individual
Gender
Male
Address
801 E Main St, Tishomingo, OK, 74953-2083
Phone Number
580-371-3776
Fax Number
580-371-2056
Provider Enumeration Date
12/03/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200226970A 05 OK
institution
Provider Business Practice Location Address Details
Address
801 E Main St
City
State
Zip
73460-2351
Phone Number
580-371-3776
Fax Number
580-371-2056
person
Provider Business Mailing Address Details
Address
801 E Main St
City
State
Zip
73460-2351
Phone Number
580-371-3776
Fax Number
580-371-2056
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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