Individual
MR. TROY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3341 YOUREE DR, 101, SHREVEPORT, LA 71105-2149
(319) 219-4167
Mailing address
3341 YOUREE DR, 101, SHREVEPORT, LA 71105-2149
(319) 219-4167
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/07/2016
Last updated
07/30/2019
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