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Cooper Brubacher, LLMSW

Counselor, Addiction (Substance Use Disorder) in Petoskey, MI. Individual provider (NPI-1).

NPI number1669976189
StatusActive
Last updated in NPPESMar 20, 2018

Details

NPI
1669976189
Entity type
Individual (NPI-1)
Name
Cooper Brubacher
Credential
LLMSW
Sex
Male
Sole proprietor
No
Enumeration date
Mar 20, 2018
Last updated
Mar 20, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)6801100374MIYes

Practice location

704 Emmet St
Petoskey, MI 49770-2910

Phone 231-347-9880

Mailing address

704 Emmet St
Petoskey, MI 49770-2910

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Other Addiction (Substance Use Disorder) Counselor providers in Petoskey, MI

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