KELLY COOPER-SWENSON MA
NPI 1184178782
Counselor - Mental Health in Otsego, MN
Active since August 11, 2016
About Kelly Cooper-swenson Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY COOPER-SWENSON MA (NPI 1184178782) is an individual mental health provider in Otsego, Minnesota and active in the NPI registry since August 2016.
NPPES Registry Identity
NPI1184178782
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY COOPER-SWENSONCredential: MA
Location Address16201 90TH ST NE STE 200Otsego, MN 55330-7464
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 379-1718
Phone(763) 746-9492
Sole ProprietorNo
Enumeration DateAugust 11, 2016
✔ NPI 1184178782 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
16201 90TH ST NE STE 200, Otsego, MN 55330
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Mental Health)
16201 90TH ST NE STE 200
OTSEGO, MN 55330
OTSEGO, MN 55330
Counselor (Addiction (Substance Use Disorder))
16201 90TH ST NE STE 200
OTSEGO, MN 55330
OTSEGO, MN 55330
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184178782, enumerated as an "individual" on August 11, 2016.
The provider is located at 16201 90TH ST NE STE 200 OTSEGO, MN 55330 and the phone number is (763) 746-9492.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
