Individual
ERIN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
518 VERNON ST, MEDIA, PA 19063-3907
(215) 816-9030
Mailing address
518 VERNON ST, MEDIA, PA 19063-3907
(215) 816-9030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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