Individual
GERALD COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
199 WILLIAM HOWARD TAFT RD, CINCINNATI, OH 45219-2103
(513) 616-8774
Mailing address
11331 EMBASSY DR, CINCINNATI, OH 45240-3009
(513) 763-9474
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.130650
OH
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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