Organization
COPPERSPRING WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUN JIN CARSON LCSW (CHIEF EXECUTIVE OFFICER)
(510) 456-0475
Entity
Organization
Contact information
Practice address
6670 CHALK HILL LN, VALLEJO, CA 94591-3866
(510) 456-0475
Mailing address
6670 CHALK HILL LN, VALLEJO, CA 94591-3866
(510) 456-0475
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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