Organization
CPR IN THE OZARKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARISSA COPPEDGE (CO-OWNER)
(417) 413-1470
Entity
Organization
Contact information
Practice address
2407 S CAMPBELL AVE, SPRINGFIELD, MO 65807-2903
(417) 413-1470
Mailing address
2407 S CAMPBELL AVE, SPRINGFIELD, MO 65807-2903
(417) 413-1470
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
07/25/2023
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