Kristie Jo Coppedge in Lynnwood - Mental Health

Kristie Jo Coppedge - NPI 1093850224

Kristie Jo Coppedge is a Mental Health in Lynnwood, Washington. Kristie Jo Coppedge practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Kristie Jo Coppedge is 1093850224. The last update date is 2007-08-28.

Kristie Jo Coppedge's current location address is 20102 Cedar Valley Rd, Lynnwood, Washington. You can contact this provider via phone number 4256702102 and fax number 4256708081. The mailing address for Kristie Jo Coppedge is 20102 Cedar Valley Rd, Lynnwood, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristie Jo Coppedge
Address 20102 Cedar Valley Rd, Lynnwood, Washington
Phone Number 4256702102
Fax Number 4256708081
Sole Proprietor Y
Credentials LMHC, LICS

NPI Number Detail

NPI Number 1093850224
Provider Enumeration Date 2007-02-21
Last Updated Date 2007-08-28

Provider Mailing Address Detail

Address 20102 Cedar Valley Rd
City Lynnwood
State Washington (WA)
Post Code 980366333
Phone Number 4256702102
Fax Number 4256708081

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No LH00006307
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about Kristie Jo Coppedge

What is the unique 10-digit identifier code assigned to Kristie Jo Coppedge by the Centers for Medicare & Medicaid Services?

The Kristie Jo Coppedge has been issued the NPI (National Provider Identifier) 1093850224 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Kristie Jo Coppedge is geographically located?

The Kristie Jo Coppedge is physically situated at the following location: 20102 Cedar Valley Rd, Lynnwood, WA, 980366333.

What is Kristie Jo Coppedge's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kristie Jo Coppedge's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.

On what date did Kristie Jo Coppedge receive its 1093850224 assignment from the Centers for Medicare & Medicaid Services?

The Kristie Jo Coppedge was assigned its 1093850224 on 2007-02-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Kristie Jo Coppedge, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kristie Jo Coppedge, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-28.

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