DERRICK COOPER

ROCHESTER, NY
NPI1427808294
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  35422)
Enumeration Date2024-03-25
Last Update Date2024-03-25
Business Address
Mr. DERRICK COOPER CASAC
585 JOSEPH AVE
ROCHESTER, NY 14605-1215
Phone number: 585-325-4910
Mailing Address
Mr. DERRICK COOPER CASAC
585 JOSEPH AVE
ROCHESTER, NY 14605-1215
Phone number: 585-325-4910
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