Most Relevant Information
Provider Data
| NPI Number: | 1003584533 |
| Provider Name: | JESSICA M COOPER QMHS CMS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/31/2021 |
| Last Updated: | 08/31/2021 |
Provider Practice Location
1776 TREMAINSVILLE RD
TOLEDO
OH
436134039
Practice Location Phone/Fax
| Phone: | 4402608300 |
| Fax: |
Provider Mailing Location
434 EASTLAND RD
BEREA
OH
440171217
Provider Mailing Phone/Fax
| Phone: | 4402342006 |
| Fax: |