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.
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)
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
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)