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Individual
TYSON COPLEY
Active
Individual
TYSON COPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.190031
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.162993
KY
171M00000X
Case Manager/Care Coordinator
—
OH
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
OH
Other
Enumeration date
07/09/2024
Last updated
03/27/2026
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