Individual
JAKE KOPITZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SSP
Contact information
Practice address
516 176TH ST E, SPANAWAY, WA 98387-8335
(253) 800-2000
Mailing address
1386 SUTTON BRANCH RD, SYLVA, NC 28779-8306
(828) 719-7667
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
551908G
WA
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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