Individual
DECORA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
59 WINECOFF AVE NW, CONCORD, NC 28025-4431
(980) 243-5595
Mailing address
2336 FARMER ST APT B, CHARLOTTE, NC 28208-5695
(704) 449-8735
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
30609
NC
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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