Individual
CASEY DEAN COPPESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3354 N PAULINA ST STE 205, CHICAGO, IL 60657-1087
(773) 234-2137
Mailing address
5553 N GLENWOOD AVE BSMT, CHICAGO, IL 60640-1259
(515) 979-6965
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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