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Individual
THOMAS ALAN COOPER
Active
Individual
THOMAS ALAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA, MS, LMHC, CAP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4452
FL
101YM0800X
Mental Health Counselor
Primary
MH 11062
FL
Other
Enumeration date
04/23/2010
Last updated
01/18/2012
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