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Individual

MRS. CARLA DAWN COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCAS

Contact information

Practice address
1309 TATUM DR, NEW BERN, NC 28560-4314
(252) 672-8742
(252) 638-3742
Mailing address
4300 SAPPHIRE CT, STE. 110, GREENVILLE, NC 27834-9075
(252) 830-7540
(252) 413-0932

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1571
NC

Other

Enumeration date
03/04/2010
Last updated
03/04/2010
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