# CHRISTOPHER COOSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1144451204
- **Gender:** Man
- **Credential:** LADC,CCS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CCS2830 | ME | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LC1188 | ME | Yes |

## Other

- **Enumeration date:** 08/06/2009
- **Last updated:** 08/06/2009