IndividualActive
Clayton Cooper
NPI 1942545991 · Addiction (Substance Use Disorder) Counselor · Tishomingo, OK
Provider details
- NPI number
- 1942545991
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
801 E Main St
Tishomingo, OK 73460-2351
Phone: (580) 371-3776
Fax: (580) 371-2056
Approximate (ZIP-level) locationGet directions
Mailing address
200 Michelle Dr
Poteau, OK 74953-2083
Registry dates
- Enumerated
- 2012-12-03
- Last updated
- 2012-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.