Individual
ALYSSA COPENHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661
(360) 696-4061
Mailing address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7235
OR
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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