Individual
KRISTEN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
380 S PORTAGE PATH, AKRON, OH 44320-2326
(330) 315-4901
(330) 434-7885
Mailing address
380 S PORTAGE PATH, AKRON, OH 44320-2326
(330) 315-4901
(330) 434-7885
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C1801043TRNE
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA165062
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0291595
—
OH
Enumeration date
05/10/2018
Last updated
01/31/2019
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