JACQUELYN MARIE COOPER

CLEVELAND, TN
NPI1679460745
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TN  1730)
Enumeration Date2025-06-21
Last Update Date2025-06-21
Business Address
JACQUELYN MARIE COOPER LADAC II
1510 STUART RD NE STE 101
CLEVELAND, TN 37312-5869
Phone number: 423-790-4906
Mailing Address
JACQUELYN MARIE COOPER LADAC II
1809 FOREST RIDGE DR SW
CLEVELAND, TN 37311-7321
Phone number: 423-599-2597
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