National Provider Identifier

Derrick Cooper, CASAC

Derrick Cooper, CASAC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Rochester, NY and a listed phone number of (585) 325-4910.

NPI 1427808294Rochester, NYAddiction (Substance Use Disorder) Counselor

Source: public NPPES record, last updated March 25, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1427808294
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
March 25, 2024
Last Updated
March 25, 2024

Practice Location

  • 585 Joseph Ave
  • Rochester, NY 14605-1215

Phone: (585) 325-4910

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)

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Full Record
NPI
1427808294
Entity Type
Individual
Last Name
Cooper
First Name
Derrick
Name Prefix
Mr.
Credential
CASAC
Mailing Street Address
585 Joseph Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14605-1215
Mailing Country
US
Mailing Phone
(585) 325-4910
Mailing Fax
(585) 546-1491
Practice Street Address
585 Joseph Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14605-1215
Practice Country
US
Practice Phone
(585) 325-4910
Practice Fax
(585) 546-1491
Enumeration Date
March 25, 2024
Last Updated
March 25, 2024
Sex
Male
Sole Proprietor
No
Certification Date
March 25, 2024
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)