Kristie Jo Coppedge, LMHC, LICSW
NPI #1093850224 in Lynnwood, Washington
Provider Information
- NPI Number
- 1093850224
- Entity Type
- Individual
- Name
- Kristie Jo Coppedge, LMHC, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LMHC, LICSW
- Enumeration Date
- Feb 21, 2007
- Last Updated
- Aug 28, 2007
Practice Location
- Address
- 20102 CEDAR VALLEY RD
- Address 2
- SUITE 104
- City
- Lynnwood
- State
- Washington
- ZIP Code
- 98036-6333
- Phone
- (425) 670-2102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Social Worker - Clinical — Clinical |
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