Individual
JULIE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
1175 CARONDELET DR, RICHLAND, WA 99354-3300
(509) 943-9104
Mailing address
1175 CARONDELET DR, RICHLAND, WA 99354-3300
(509) 943-9104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 60614161
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP 60614161
CHEMICAL DEPENDENCY PROFESSIONAL CERTIFICATION
WA
Enumeration date
03/07/2016
Last updated
11/01/2018
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