KELLY COOPER

SOMERSET, KY
NPI1194146936
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  101588)
Enumeration Date2013-12-20
Last Update Date2013-12-20
Business Address
-- KELLY COOPER CADC
401 BOGLE ST SUITE 102
SOMERSET, KY 42503-3823
Phone number: 606-676-0638
Mailing Address
-- KELLY COOPER CADC
401 BOGLE ST SUITE 102
SOMERSET, KY 42503-3823
Phone number: 606-676-0638