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NPI Code Detail

MEDICARE: ALLISON COOPER LCMHC, NCC

MEDICARE: ALLISON COOPER LCMHC, NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor17745NC

General Provider Information

NPI Number : 1427785062
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON COOPER LCMHC, NCC
Provider Business Mailing Address
First Line : 407 S GRIFFIN ST STE J
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-4693
Country : US
Telephone Number : 252-331-0322
Fax Number : 252-331-0320
Provider Business Practice Location Address
First Line : 407 S GRIFFIN ST STE J
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-4693
Country : US
Telephone Number : 252-331-0322
Fax Number : 252-331-0320
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2022
Last Update Date : 01/14/2026

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Directions to “ ALLISON COOPER LCMHC, NCC” Practice Location

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