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JORDANA COOPER
NPI 1184093882
Counselor - Addiction (Substance Use Disorder) in Vallejo, CA

Active since September 23, 2015
MEDMARK TREATMENT CENTER, 1628 BROADWAY ST., VALLEJO, CA 94590(707) 649-8300(707) 649-8302 Get Directions Write a Review

NPPES record last updated: September 23, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jordana Cooper NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDANA COOPER (NPI 1184093882) is an individual addiction (substance use disorder) provider in Vallejo, California, licensed in California (R1211520815) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1184093882
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJORDANA COOPER
Location AddressMEDMARK TREATMENT CENTER, 1628 BROADWAY ST.Vallejo, CA 94590
Mailing AddressMedmark Treatment Center, 1628 Broadway St.Vallejo, CA 94590 · (707) 649-8300 · Fax (707) 649-8302
Phone(707) 649-8300
Fax(707) 649-8302
Sole ProprietorYes
Enumeration DateSeptember 23, 2015
✔ NPI 1184093882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1211520815
MEDMARK TREATMENT CENTER, Vallejo, CA 94590
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordana Cooper's NPI number?

The NPI number for Jordana Cooper is 1184093882. It was assigned to this individual provider in the NPPES registry on September 23, 2015.

Where is Jordana Cooper located?

Jordana Cooper practices at Medmark Treatment Center 1628 Broadway St., Vallejo, CA 94590. The listed phone number is (707) 649-8300.

What is Jordana Cooper's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jordana Cooper was last updated on September 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.