Individual provider · Type 1 NPI

Jennifer K. Coplon, LICSW

Mental Health Counselor · Lexington, MA

NPI number 1114095619 Active

Practice location

35 Bedford St, Suite 17
Lexington, MA 02420-4320

Mailing address

458 Shawmut Ave
Boston, MA 02118-3836

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X101066 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1114095619

Jennifer K. Coplon, LICSW's National Provider Identifier is 1114095619, issued on Dec 1, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lexington, MA. The record was last updated on Jul 8, 2007.