NPI Profile for RAYMOND COPPOCK in KOTZEBUE, AK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Community Health Worker |
172V00000X |
| NPI Number | 1972716959 |
|
| Status | Active | |
| Credentials | CDCII, BHAII | |
| Entity | Individual | |
| Enumeration date | 05/07/2007 | |
| Last updated | 06/23/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RAYMOND COPPOCK
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