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

Tarique Cooper, LADCII

Individual provider Counselor · NPI 1992596662

Tarique Cooper, LADCII is a Counselor in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2025.

Licensed in
MA
In the registry since
2025
Specialties on file
3
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Practice location Address checks out

90 Madison St Ste 502
Worcester, MA 01608
Phone: (774) 530-6363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 24408 (MA)
Counselor Taxonomy 101Y00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1992596662
Entity typeIndividual (Type 1)
GenderMale
Credentials LADCII
Sole proprietorNo
NPI enumeratedMay 13, 2025
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025

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