Individual provider · Type 1 NPI
Prue E. Cooper, LAADC-S, CMPSS
Addiction (Substance Use Disorder) Counselor · South Pasadena, CA
NPI number
1629318738
Active
Practice location
625 Fair Oaks Ave Ste 300
South Pasadena, CA 91030-5805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LS05051221 (CA) |
| Peer Specialist | 175T00000X | MPSS-HTQP96 (CA) |
| Rehabilitation Practitioner | 225400000X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1629318738
Prue E. Cooper, LAADC-S, CMPSS's National Provider Identifier is 1629318738, issued on Feb 26, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in South Pasadena, CA. The record was last updated on Sep 11, 2025.