Individual
MR. CONNOR COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
1336 JACKSON PIKE, GALLIPOLIS, OH 45631-2601
(740) 208-6979
Mailing address
1336 JACKSON PIKE, GALLIPOLIS, OH 45631-2601
(740) 208-6979
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
193227
OH
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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