Individual provider · Type 1 NPI

Kerry Dale Cooper

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1639832793 Active

Practice location

155 Bimini Pl
Los Angeles, CA 90004-5902

Call (213) 388-5423 Map

Mailing address

4847 Vista De Oro Ave
View Park, CA 90043-1610

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 1639832793

Kerry Dale Cooper's National Provider Identifier is 1639832793, issued on Oct 15, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 3, 2022.