| NPI | 1093850224 |
|---|---|
| Professional Name | KRIS COPPEDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH00006307) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA LW00007408) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-08-28 |