KERRY DALE COOPER

LOS ANGELES, CA
NPI1639832793
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-10-15
Last Update Date2022-01-03
Business Address
KERRY DALE COOPER
155 BIMINI PL
LOS ANGELES, CA 90004-5902
Phone number: 213-388-5423
Mailing Address
KERRY DALE COOPER
4847 VISTA DE ORO AVE
VIEW PARK, CA 90043-1610
Phone number: 323-601-7495
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