Jean Coppernoll, PCPRC

NPI #1912874181 in Twin Falls, Idaho

Provider Information

NPI Number: 1912874181
Entity Type: Individual
Name: Jean Coppernoll, PCPRC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: PCPRC
Enumeration Date: Oct 21, 2025
Last Updated: Oct 21, 2025

Practice Location

Address: 226 MARTIN ST
City: Twin Falls
State: Idaho
ZIP Code: 83301-4542
Phone: (208) 543-7230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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