Individual
CARL WESLEY COOPER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15681 N US HIGHWAY 301, CITRA, FL 32113-3154
(352) 595-5000
Mailing address
4604 SW 65TH PL, OCALA, FL 34474-9547
(561) 385-0832
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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