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Individual
TAMMI LATONYA PRINCE-COOPER
Active
Individual
TAMMI LATONYA PRINCE-COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LCAC, CSAYC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000953A
IN
101YM0800X
Mental Health Counselor
Primary
39001587A
IN
Other
Enumeration date
12/17/2012
Last updated
01/11/2024
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