MICHAEL COOPER

VACAVILLE, CA
NPI1376818005
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-03-13
Last Update Date2012-03-13
Business Address
-- MICHAEL COOPER
1286 CALLEN ST
VACAVILLE, CA 95688-3002
Phone number: 707-447-8982
Mailing Address
-- MICHAEL COOPER
401 ACACIA ST APT B
VACAVILLE, CA 95688-3727
Phone number:
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