KERRY COOPER

BRONX, NY
NPI1710056726
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  12174)
Enumeration Date2006-11-06
Last Update Date2009-03-13
Business Address
Mr. KERRY COOPER CASAC
3584 JEROME AVE
BRONX, NY 10467-1006
Phone number: 718-653-1537
Mailing Address
Mr. KERRY COOPER CASAC
PO BOX 31094
HARTFORD, CT 06154-0001
Phone number: 518-952-8140