Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacquelyn Marie Cooper, LADACII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1679460745

Jacquelyn Marie Cooper, LADACII is an Addiction (Substance Use Disorder) Counselor in Cleveland, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2025

Practice location Address checks out

1510 Stuart Rd NE Ste 101
Cleveland, TN 37312-5869
Phone: (423) 790-4906
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1730 (TN)

Record details

NPI number1679460745
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LADACII
Sole proprietorYes
NPI enumeratedJune 21, 2025
Last updated in NPPESJune 21, 2025
Certification dateJune 21, 2025

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