# MRS. TAMARA DEANNE COOPER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053807107
- **Gender:** F
- **Credential:** LCSW, TCADC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 242235 | KY | — |
| 1041C0700X | Clinical Social Worker | 255407 | KY | Yes |

## Other

- **Enumeration date:** 07/02/2018
- **Last updated:** 01/19/2021