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NPI Code Detail

MEDICARE: TRICIA K COOPER LPCC

MEDICARE: TRICIA K COOPER LPCC
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
1101YP2500XProfessional CounselorKY-1736KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942556618
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRICIA K COOPER LPCC
Provider Business Mailing Address
First Line : 1949 GOLDSMITH LN STE 103
Second Line :
City : LOUISVILLE
State : KY
Zip : 40218-3096
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1949 GOLDSMITH LN STE 103
Second Line :
City : LOUISVILLE
State : KY
Zip : 40218-3096
Country : US
Telephone Number : 502-890-1265
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2012
Last Update Date : 03/21/2024

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Directions to “ TRICIA K COOPER LPCC” Practice Location

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