Coppedge Psychotherapy INC
NPI #1083995740 in Lynnwood, Washington
Provider Information
- NPI Number
- 1083995740
- Entity Type
- Organization
- Organization Name
- Coppedge Psychotherapy INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 7, 2011
- Last Updated
- Oct 27, 2011
Practice Location
- Address
- 20102 CEDAR VALLEY RD
- Address 2
- SUITE 107
- City
- Lynnwood
- State
- Washington
- ZIP Code
- 98036-6333
- Phone
- (425) 670-2102
Authorized Official
- Name
- MISS KRISTIE JO COPPEDGE, LICSW
- Title
- OWNER
- Phone
- (425) 670-2102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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