MR. ROCHESTER COOPER DAMON NPI 1659859882

NPI Information

NPI: 1659859882
Provider Name: MR. ROCHESTER COOPER DAMON
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1321 ASHLEYBROOK LN
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 727-3257
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MR. Rochester Cooper Damon is a mental health counselor in Winston Salem, NC. MR. Rochester Cooper Damon NPI is 1659859882. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1321 ASHLEYBROOK LN
WINSTON SALEM, NC
ZIP 27103-918
Phone: (336) 727-3257
Fax: (336) 727-3258

The enumeration date for this NPI number is 7/31/2018 and was last updated on 7/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	A14107	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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