Doctor Name: | LORRAINE RAE COPENHAVER |
NPI Number: | 1538486394 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSW,MSW |
License Number: | SW127791 |
Business Practice Address: | 214 Peach Orchard Rd Mc Connellsburg, PA - 172338559 |
Business Phone Number: | 7174855342 |
Business Fax Number: | 7174854716 |
Mailing Address: | 214 Peach Orchard Rd, MC CONNELLSBURG |
State: | PA |
Postal Code: | 172338559 |
Phone Number: | 7174855342 |
Fax Number: | 7174854716 |
NPI Enumeration Date: | 05/03/2010 |
NPI Last Update Date: | 05/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | SW127791 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |