Cooper, Kandice Nicole

Cooper, Kandice Nicole is an sole proprietor health care provider with primary practice located at 790 Woodlane Rd Ste 20 , Westampton NJ 08060-9624. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Cooper, Kandice Nicole can be contacted via phone (609) 261-6627.

Contact Information

Primary practice address
790 Woodlane Rd Ste 20 Westampton NJ 08060-9624
Phone: (609) 261-6627
Fax: (609) 261-7379
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1215065784
LBN Legal business name Cooper, Kandice Nicole
Credentials MSW, DMIN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215065784 NPPES
New Jersey MEDICAID 8819700

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