BRIAN COOPER

ROSEVILLE, CA
NPI1619394673
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-03-27
Last Update Date2014-10-15
Business Address
-- BRIAN COOPER
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
Mailing Address
-- BRIAN COOPER
11885 ASPEN HEIGHTS CT
RANCHO CORDOVA, CA 95742-8135
Phone number: 916-743-5434