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NPI Code Detail

MEDICARE: KAYLA COPPER LCSW

MEDICARE: KAYLA COPPER LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
21041C0700XClinical Social WorkerCSW.09930865CO

General Provider Information

NPI Number : 1285482679
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA COPPER LCSW
Provider Business Mailing Address
First Line : 4704 HARLAN ST STE 511
Second Line :
City : DENVER
State : CO
Zip : 80212-7427
Country : US
Telephone Number : 260-615-6211
Fax Number :
Provider Business Practice Location Address
First Line : 4704 HARLAN ST STE 511
Second Line :
City : DENVER
State : CO
Zip : 80212-7427
Country : US
Telephone Number : 720-507-3365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2024
Last Update Date : 12/13/2024

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Directions to “ KAYLA COPPER LCSW” Practice Location

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