James Andrew Cooper, LADAC, CADC
Counselor, Addiction (Substance Use Disorder) in Detroit, MI. Individual provider (NPI-1).
NPI number1760951925
StatusActive
Last updated in NPPESMay 26, 2021
Details
- NPI
- 1760951925
- Entity type
- Individual (NPI-1)
- Name
- James Andrew Cooper
- Credential
- LADAC, CADC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 17, 2018
- Certification date
- May 26, 2021
- Last updated
- May 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 2-01767 | MI | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CAD0198711 | NM |
Practice location
9605 Grand River AveDetroit, MI 48204-2139
Phone 313-834-5930
Mailing address
21815 Hidden Rivers Dr NSouthfield, MI 48075-1035
Phone 505-221-4009
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