Individual
JAYNELLE KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
7700 NE 26TH AVE, VANCOUVER, WA 98665-0672
(360) 397-8228
(360) 353-9440
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(360) 353-9494
(360) 353-9440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10850
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61346560
WA
Other
Enumeration date
08/12/2020
Last updated
07/29/2025
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