Provider Demographics
NPI:1568667277
Name:ARDEN-COOPER, ADINA (LPC)
Entity Type:Individual
Prefix:MS
First Name:ADINA
Middle Name:
Last Name:ARDEN-COOPER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 BLACKBERRY INN RD
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-9756
Mailing Address - Country:US
Mailing Address - Phone:828-645-9975
Mailing Address - Fax:
Practice Address - Street 1:1128 CANE RIVER SCHOOL RD
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28714-8106
Practice Address - Country:US
Practice Address - Phone:828-682-4758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5264101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional