Individual provider · Type 1 NPI

Tracy Irenette Cooper, LCAS A

Addiction (Substance Use Disorder) Counselor · Rocky Mount, NC

NPI number 1639660905 Active

Practice location

130 Jones Rd
Rocky Mount, NC 27804

Call (252) 443-0480 Map

Mailing address

1261 Katherine Trl
Rocky Mount, NC 27804-9362

Other practice locations

  • 1261 Katherine Trl, Rocky Mount, NC 27804-9362 · (252) 822-1243

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15432 (NC)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1639660905

Tracy Irenette Cooper, LCAS A's National Provider Identifier is 1639660905, issued on May 22, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rocky Mount, NC. The record was last updated on Jun 1, 2018.