Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kerry Dale Cooper

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639832793

Kerry Dale Cooper is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

155 Bimini Pl
Los Angeles, CA 90004-5902
Phone: (213) 388-5423
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1639832793
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 15, 2021
Last updated in NPPESJanuary 3, 2022
Certification dateJanuary 3, 2022

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