LEE CHARLES COOPER

BERKELEY, CA
NPI1043563612
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2012-10-19
Last Update Date2012-10-19
Business Address
MR. LEE CHARLES COOPER
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
Mailing Address
MR. LEE CHARLES COOPER
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
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