Individual
CANDACE MARIE COPPERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4295 BROCKTON AVE, RIVERSIDE, CA 92501-3446
(951) 567-4235
Mailing address
4295 BROCTON AVENUE, RIVERSIDE, CA 92501
(951) 341-3786
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1262740817
CA
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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