Individual
KELLY LYNN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
70 E MAIN ST STE F, GREENWOOD, IN 46143-4203
(317) 360-5315
Mailing address
713 E PLEASANT RUN PARKWAY SOUTH DR, INDIANAPOLIS, IN 46203-3914
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
39003513A
IN
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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