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Individual

MR. TERENCE E. COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.I.T.

Contact information

Practice address
242 WEST SHAMROCK, UNIT 6 MEADOW LANE, PINEVILLE, LA 71360
(318) 484-6400
(318) 487-5703
Mailing address
PO BOX 7118, ALEXANDRIA, LA 71306-0118
(318) 484-6400
(318) 487-5703

Taxonomy

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

Other

Enumeration date
02/19/2008
Last updated
02/19/2008
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