Coppedge, Kristie Jo

Coppedge, Kristie Jo is an sole proprietor health care provider with primary practice located at 20102 Cedar Valley Rd Suite 104, Lynnwood WA 98036-6333. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Coppedge, Kristie Jo can be contacted via phone (425) 670-2102.

Contact Information

Primary practice address
20102 Cedar Valley Rd Suite 104 Lynnwood WA 98036-6333
Phone: (425) 670-2102
Fax: (425) 670-8081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00006307 Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW00007408 Washington

Profile Details

NPI number 1093850224
LBN Legal business name Coppedge, Kristie Jo
Credentials LMHC, LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Aug 28th, 2007 - about 17 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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