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Individual
JAAFAH RASHAD COPPEDGE
Active
Individual
JAAFAH RASHAD COPPEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
NULL
106E00000X
Assistant Behavior Analyst
—
NULL
106S00000X
Behavior Technician
—
NULL
167G00000X
Licensed Psychiatric Technician
—
NULL
175T00000X
Peer Specialist
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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