Individual
CONNIE ROSE COPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LPN
Contact information
Practice address
603 N WAYNE ST STE 2A, ANGOLA, IN 46703-1080
(260) 668-8797
Mailing address
7303 KENSINGTON DR W, FORT WAYNE, IN 46818-8837
(260) 316-5011
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35002069A
IN
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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