Individual
DR. JACQUELINE COPPOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4243 E PIEDRAS DR STE 236, SAN ANTONIO, TX 78228-1421
(210) 201-4187
(210) 314-2166
Mailing address
2115 CALATE RDG, SAN ANTONIO, TX 78253-4116
(210) 201-4187
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
38208
TX
Other
Enumeration date
11/10/2019
Last updated
08/16/2024
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