Individual provider · Type 1 NPI

Kimberly Cooper

Addiction (Substance Use Disorder) Counselor · Salt Lake City, UT

NPI number 1053689117 Active

Practice location

344 East 100 South
Salt Lake City, UT 84111

Call (801) 322-4257 Map

Mailing address

6968 S. Park Reserve Way Apt #301
Midvale, UT 84047-4713

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053689117

Kimberly Cooper's National Provider Identifier is 1053689117, issued on Dec 5, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 5, 2011.