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Kelly Anne Cooper
Mental Health Counselor in Camarillo, California
NPI 1114411915

Kelly Anne Cooper is a Mental Health Counselor based in Camarillo, CA and is specialized in Mental Health. Kelly Anne Cooper practices in Camarillo, CA. The NPI Number for Kelly Anne Cooper is 1114411915 and holds a License No. (California).

The current practice location address for Kelly Anne Cooper is 5284 Adolfo Rd Ste 100, Camarillo, CA and can be reached out via phone at 805-289-0120.

Location: 5284 Adolfo Rd Ste 100, Camarillo, CA, 93012-6790
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114411915
Provider Name
Kelly Anne Cooper
Credential
Provider Entity Type
Individual
Gender
Female
Address
5284 Adolfo Rd Ste 100, Camarillo, CA, 93012-6790
Phone Number
805-289-0120
Fax Number
Provider Enumeration Date
06/15/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YM0800X 01 CA ASPIRA
institution
Provider Business Practice Location Address Details
Address
5284 Adolfo Rd Ste 100
City
Camarillo
State
California
Zip
93012-6790
Phone Number
805-289-0120
Fax Number
person
Provider Business Mailing Address Details
Address
5284 Adolfo Rd Ste 100
City
Camarillo
State
California
Zip
93012-6790
Phone Number
805-289-0120
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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