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Individual

HEATHER NICOLE COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
625 STEELE LN, SANTA ROSA, CA 95403-3127
(707) 576-0818
Mailing address
625 STEELE LN, SANTA ROSA, CA 95403-3127
(707) 576-0818

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
225400000X
Rehabilitation Practitioner
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
01/27/2026
Last updated
06/08/2026
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