Organization
TERESA KOPPIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA A KOPPIN MA, LPC (OWNER)
(719) 251-5222
Entity
Organization
Contact information
Practice address
421 N MAIN ST STE 301, PUEBLO, CO 81003-3187
(719) 251-5222
(719) 562-0129
Mailing address
421 N MAIN ST STE 301, PUEBLO, CO 81003-3187
(719) 251-5222
(719) 562-0129
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0011162
CO
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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