Cooper Ray Vance
Cooper Ray Vance is a Peer Specialist in Elizabethtown, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.
- Licensed in
- KY
- In the registry since
- 2022
Practice location Address checks out
100 Par LnElizabethtown, KY 42701-9059
Phone: (270) 317-0225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (KY) |
|---|
Record details
| NPI number | 1023734233 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 19, 2022 |
| Last updated in NPPES | October 19, 2022 |
| Certification date | October 19, 2022 |
| Mailing address | 100 Par Ln, Elizabethtown, KY 42701-9059 |
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