Coopersmith, Jake

Coopersmith, Jake is an sole proprietor health care provider with primary practice located at 50 Sturbridge Ct , Bristol CT 06010-9037. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Coopersmith, Jake can be contacted via phone (860) 368-8665.

Contact Information

Primary practice address
50 Sturbridge Ct Bristol CT 06010-9037
Phone: (860) 368-8665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1922681972
LBN Legal business name Coopersmith, Jake
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2021
Last updated Apr 28th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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