Individual provider · Type 1 NPI

Kelly Cooper-Swenson, MA

Mental Health Counselor · Otsego, MN

NPI number 1184178782 Active

Practice location

16201 90th St NE Ste 200
Otsego, MN 55330-7464

Mailing address

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1184178782

Kelly Cooper-Swenson, MA's National Provider Identifier is 1184178782, issued on Aug 11, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Otsego, MN. The record was last updated on Aug 11, 2016.