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General NPI Number Information
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NPI Number | 1013346477
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Entity Type | Individual
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Provider Name | PETE COOPER PH.D., LPC-S, CLC
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Gender | Male
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Dates
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Enumeration Date | 11/06/2013
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 2000 N CAUSEWAY BLVD SUITE B
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City | MANDEVILLE
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State | LA
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Zip | 70471-3154
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Country | US
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Telephone | 985-882-1233
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Fax | 985-089-6909
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Provider Business Mailing Address
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Address Line | 2000 N CAUSEWAY BLVD STE B SUITE B
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City | MANDEVILLE
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State | LA
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Zip | 70471-3173
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Country | US
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Telephone | 985-882-1233
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Fax | 985-809-6909
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 5137
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License Number State | LA
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