Individual
ALBERTA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
704 OLD LILESVILLE RD, WADESBORO, NC 28170-2820
(704) 694-6588
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-21163
NC
Other
Enumeration date
06/23/2020
Last updated
10/09/2020
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