Individual
DR. JEANINE COPPERSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
800 OFFICERS ROW STE A, VANCOUVER, WA 98661-3847
(503) 869-1594
Mailing address
800 OFFICERS ROW STE A, VANCOUVER, WA 98661-3847
(503) 867-9159
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY60919826
WA
Other
Enumeration date
12/11/2006
Last updated
12/10/2019
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