Individual
KRYSTAL COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 MADISON RD, CINCINNATI, OH 45227-1491
(513) 272-2800
(513) 272-2807
Mailing address
1028 HILL CREST RD, CINCINNATI, OH 45224-3222
(513) 709-0701
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2003000
OH
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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