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Contact Information

TARIQUE COOPER, LADC II
90 MADISON STREET
SUITE 502
WORCESTER, MA01608
 Phone: 774-530-6363
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Case Manager/Care Coordinator

171M00000X
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for TARIQUE COOPER · (Male)

NPI # 1992596662
Status Active
Credentials LADC II
Entity Individual
Enumeration date 05/13/2025
Last updated 05/15/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MA License # 24408
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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