Individual
MRS. TAMARA DEANNE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, TCADC
Contact information
Practice address
2816 VEACH RD STE 208, OWENSBORO, KY 42303-6299
(270) 228-0340
(270) 228-0341
Mailing address
2816 VEACH RD STE 208, OWENSBORO, KY 42303-6299
(270) 228-0340
(270) 228-0341
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
242235
KY
1041C0700X
Clinical Social Worker
Primary
255407
KY
Other
Enumeration date
07/02/2018
Last updated
01/19/2021
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