Individual
VICTORIA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CIT
Contact information
Practice address
201 W BAYOU ST, FARMERVILLE, LA 71241-2707
(318) 368-3363
Mailing address
112 E CAROLINA AVE, RUSTON, LA 71270-3880
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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