Tarique Cooper, LADC II
NPI #1992596662 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1992596662
- Entity Type
- Individual
- Name
- Tarique Cooper, LADC II
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADC II
- Enumeration Date
- May 13, 2025
- Last Updated
- May 15, 2025
Practice Location
- Address
- 90 MADISON STREET
- Address 2
- SUITE 502
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01608
- Phone
- (774) 530-6363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Case Manager/Care Coordinator |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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