KEVIN DONOVAN COOPER

SACRAMENTO, CA
NPI1851936462
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-11-07
Last Update Date2023-11-27
Business Address
KEVIN DONOVAN COOPER
1820 J ST
SACRAMENTO, CA 95811-3010
Phone number: 916-313-8434
Mailing Address
KEVIN DONOVAN COOPER
4901 LITTLE OAK LN APT 246
SACRAMENTO, CA 95841-3752
Phone number: 916-416-4417