| Dale Phillip Cooper, CACI, CACII | |
|
510 E Carolina Ave, Hartsville, SC 29550-4312 | |
| (843) 332-4156 | |
| Not Available |
| Full Name | Dale Phillip Cooper |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 510 E Carolina Ave, Hartsville, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356650030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0909044 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dale Phillip Cooper, CACI, CACII 1623 Shady Oak Ln, Florence, SC 29506-9112 Ph: (843) 669-2496 | Dale Phillip Cooper, CACI, CACII 510 E Carolina Ave, Hartsville, SC 29550-4312 Ph: (843) 332-4156 |
Eric Radcliff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 E. Carolina Ave., Hartsville, SC 29550 Phone: 843-332-4156 | |
Taylor Pederson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 S 4th St, Hartsville, SC 29550 Phone: 843-332-4141 | |
Mr. Thomas Blackmon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 E Carolina Ave, Hartsville, SC 29550 Phone: 843-332-4141 | |
Mr. Lentheus Mcalister, Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 E Carolina Ave, Hartsville, SC 29550 Phone: 843-332-4141 | |
Angela Wellman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 149 E Carolina Ave, Hartsville, SC 29550 Phone: 843-857-0074 Fax: 843-857-0081 | |
Brittany Cranford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1451 Retail Row, Hartsville, SC 29550 Phone: 843-383-4848 Fax: 843-383-4828 | |
Kadeshia Mack, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1451 Retail Row, Hartsville, SC 29550 Phone: 843-383-4848 Fax: 843-383-4828 |