Individual
JASON ALEXANDER KOPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
51 LYNNWOOD LN, BLACK HAWK, CO 80422-4545
(303) 642-3597
Mailing address
51 LYNNWOOD LN, BLACK HAWK, CO 80422-4545
(303) 642-3597
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
647
CO
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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