Copley, Jack Alan

Copley, Jack Alan is an individual health care provider with primary practice located at 1714 Highland Ave , Carrollton KY 41008-8775. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Copley, Jack Alan can be contacted via phone (502) 732-9331.

Contact Information

Primary practice address
1714 Highland Ave Carrollton KY 41008-8775
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 08-029 Kentucky

Profile Details

NPI number 1083857445
LBN Legal business name Copley, Jack Alan
Credentials DMIN, LMFT, IMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2009
Last updated Apr 23rd, 2024 - about last year

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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