DALE COOPER, CACI, CACII

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1356650030

Practice Address

510 E CAROLINA AVE
Hartsville, SC 29550

Phone: (843) 332-4156

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes 0909044 (SC)

Frequently Asked Questions

NPI 1356650030 is the National Provider Identifier for DALE COOPER, CACI, CACII, a Counselor - Addiction (Substance Use Disorder) provider located in Hartsville, SC. This NPI was enumerated on September 29, 2010.
DALE COOPER, CACI, CACII practices at 510 E CAROLINA AVE, Hartsville, SC 29550.

Quick Facts

NPI
1356650030
Type
Individual
Enumerated
Sep 29, 2010
Last Updated
Sep 29, 2010

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