Individual provider · Type 1 NPI

Jennifer Lauren Coppola, PhD, LMFT

Marriage & Family Therapist · Manlius, NY

NPI number 1164054060 Active

Practice location

4500 Pewter Ln # 89
Manlius, NY 13104-9707

Call (315) 414-9743 Map

Mailing address

4641 Pauli Dr
Manlius, NY 13104-2419

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X001637 (NY)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1164054060

Jennifer Lauren Coppola, PhD, LMFT's National Provider Identifier is 1164054060, issued on Feb 8, 2020. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Manlius, NY. The record was last updated on Feb 8, 2020.