NPI Profile for TARIQUE COOPER in WORCESTER, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Counselor |
101Y00000X |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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TARIQUE COOPER
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