Individual
TIMARA COPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2500 W MARKET ST, LOUISVILLE, KY 40212-1541
(502) 772-8860
(502) 996-8309
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4700
(502) 772-8189
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
264017
KY
1041C0700X
Clinical Social Worker
Primary
257134
KY
Other
Enumeration date
07/22/2020
Last updated
09/05/2024
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