Individual
BRENNAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHS
Contact information
Practice address
310 BENNETT AVE, RAVENNA, OH 44266-3211
(330) 839-9966
Mailing address
310 BENNETT AVE, RAVENNA, OH 44266-3211
(330) 839-9966
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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