Individual
RENEE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCAS, CADC
Contact information
Practice address
1636 ASH LITTLE RIVER RD NW, ASH, NC 28420-1700
(910) 386-2044
Mailing address
4746 MAPLE HILL RD SW, SHALLOTTE, NC 28470-5010
(910) 386-2044
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
11/09/2022
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