Individual
CHRISTOPHER JOHNATHAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 ROBERTS LN, COTTAGE GROVE, OR 97424-1763
(541) 942-7073
Mailing address
315 ROBERTS LN, COTTAGE GROVE, OR 97424-1763
(541) 942-7073
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/23/2009
Last updated
11/02/2009
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