Individual
ANTHONY COPPAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 WESTSIDE DR, DOTHAN, AL 36303-1908
(334) 793-2237
Mailing address
1201 WHITFIELD AVE, DOTHAN, AL 36305-6883
(334) 718-6915
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4018A
AL
Other
Enumeration date
02/07/2022
Last updated
02/11/2022
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