Kelly Cooper, CADC

NPI #1194146936 in Somerset, Kentucky

Provider Information

NPI Number: 1194146936
Entity Type: Individual
Name: Kelly Cooper, CADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CADC
Enumeration Date: Dec 20, 2013
Last Updated: Dec 20, 2013

Practice Location

Address: 401 BOGLE ST
Address 2: SUITE 102
City: Somerset
State: Kentucky
ZIP Code: 42503-3823
Phone: (606) 676-0638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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