Individual
JACK ALAN COPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMIN, LMFT, IMFT
Contact information
Practice address
1714 HIGHLAND AVE, CARROLLTON, KY 41008-8775
(502) 732-9331
Mailing address
3927 EILEEN DR, CINCINNATI, OH 45209-2014
(304) 205-0695
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
08-029
KY
Other
Enumeration date
04/15/2009
Last updated
04/23/2024
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