JAYKANO COOPER

IRONTON, OH
NPI1447733514
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  LICDC.162775)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: OH  C.2506755)
171M00000X Case Manager/Care Coordinator
(Licence: OH  CDCA.172087)
Enumeration Date2018-09-13
Last Update Date2025-02-24
Business Address
JAYKANO COOPER LICDC, LPC
700 PARK AVE
IRONTON, OH 45638-1502
Phone number: 740-532-1613
Mailing Address
JAYKANO COOPER LICDC, LPC
PO BOX 108
IRONTON, OH 45638-0108
Phone number: 740-532-1613