Tracy Irenette Cooper, LCAS A
Counselor, Addiction (Substance Use Disorder) in Rocky Mount, NC. Individual provider (NPI-1).
NPI number1639660905
StatusActive
Last updated in NPPESJun 1, 2018
Details
- NPI
- 1639660905
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tracy Irenette Cooper
- Credential
- LCAS A
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2018
- Last updated
- Jun 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 15432 | NC | Yes |
Practice location
130 Jones RdRocky Mount, NC 27804
Phone 252-443-0480
Mailing address
1261 Katherine TrlRocky Mount, NC 27804-9362
Phone 252-822-1243
Other practice locations
1261 Katherine Trl
Rocky Mount, NC 27804-9362
Rocky Mount, NC 27804-9362
Phone 252-822-1243
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All 28 Addiction (Substance Use Disorder) Counselor providers in Rocky Mount · All 1,760 providers in Rocky Mount
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