Christina Cooper

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Homer, AK

NPI 1679347231 · NPPES record last updated Nov 14, 2023

Key facts

NPI
1679347231
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
51310 Timber Bay CT
Homer, AK 99603-9812
Phone
(907) 235-3250
NPI assigned
Nov 14, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

51310 Timber Bay CT
Homer, AK 99603-9812

Mailing address

PO Box 876741
Wasilla, AK 99687-6741

Other providers in Homer, AK

All providers in Homer, AK · Addiction (Substance Use Disorder) Counselor in Alaska

Sources for this page

Verify at the official NPI Registry.