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General NPI Number Information
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NPI Number | 1659403558
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Entity Type | Individual
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Provider Name | DEBRA L COOPER LCPC
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Gender | Female
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4226 W HARRINGTON LN
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City | CHICAGO
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State | IL
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Zip | 60646-6037
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Country | US
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Telephone | 847-347-3033
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Fax | 773-628-7624
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Provider Business Mailing Address
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Address Line | 4226 W HARRINGTON LN
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City | CHICAGO
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State | IL
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Zip | 60646-6037
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Country | US
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Telephone | 847-347-3033
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Fax | 773-628-7624
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 5971
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180001195
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License Number State | IL
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