Individual
JAAFAH RASHAD COPPEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
4400 S JONES BLVD UNIT 1028, LAS VEGAS, NV 89103-3337
(702) 481-8806
Mailing address
4400 S JONES BLVD UNIT 1028, LAS VEGAS, NV 89103-3337
(702) 481-8806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
167G00000X
Licensed Psychiatric Technician
—
—
175T00000X
Peer Specialist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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