Individual provider · Type 1 NPI

Kelly Cooper, CADC

Addiction (Substance Use Disorder) Counselor · Somerset, KY

NPI number 1194146936 Active

Practice location

401 Bogle St, Suite 102
Somerset, KY 42503-3823

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X101588 (KY)

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

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About NPI 1194146936

Kelly Cooper, CADC's National Provider Identifier is 1194146936, issued on Dec 20, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Somerset, KY. The record was last updated on Dec 20, 2013.