# JAYKANO COOPER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447733514
- **Gender:** Man
- **Credential:** LICDC, LPC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LICDC.162775 | OH | Yes |
| 101YP2500X | Professional Counselor | C.2506755 | OH | — |
| 171M00000X | Case Manager/Care Coordinator | CDCA.172087 | OH | — |

## Other

- **Enumeration date:** 09/13/2018
- **Last updated:** 02/24/2025