Individual
BRENDA MARTIN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
7825 BALLANTYNE COMMONS PKWY, CHARLOTTE, NC 28277-3174
(704) 446-0391
(704) 446-3210
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(704) 332-9001
(704) 332-0124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2115
NC
Other
Enumeration date
10/17/2012
Last updated
02/23/2023
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