Individual
JAMES ANDREW COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADAC, CADC
Contact information
Practice address
9605 GRAND RIVER AVE, DETROIT, MI 48204-2139
(313) 834-5930
Mailing address
21815 HIDDEN RIVERS DR N, SOUTHFIELD, MI 48075-1035
(505) 221-4009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-01767
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAD0198711
NM
Other
Enumeration date
11/17/2018
Last updated
05/26/2021
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