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Individual
CHRISTOPHER COOSE
Active
Individual
CHRISTOPHER COOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC,CCS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCS2830
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC1188
ME
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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