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TARIQUE COOPER, LADC II

LADC II

Addiction (Substance Use Disorder) Counselor

NPI: 1992596662Individual

Specialties, Licenses & Credentials

Counselor

Counselor

Code: 101Y00000X

Case Manager/Care Coordinator

Case Manager/Care Coordinator

Code: 171M00000X

Addiction (Substance Use Disorder) CounselorPrimary

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

24408(MA)
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Contact & Hours

Address
90 MADISON STREET, SUITE 502
WORCESTER, MA 01608

Quick Facts

NPI
1992596662
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
3
Locations
1

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