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Individual

DR. JESSE M COOPER SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
900 HADDON AVE STE 234, COLLINGSWOOD, NJ 08108-2111
(856) 858-5830
(856) 858-5833
Mailing address
900 HADDON AVE STE 234, COLLINGSWOOD, NJ 08108-2111
(856) 858-5830
(856) 858-5833

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
06/09/2011
Last updated
06/09/2011
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