Individual provider · Type 1 NPI

Jaynelle Kopp, SUDP

Addiction (Substance Use Disorder) Counselor · Vancouver, WA

NPI number 1639780620 Active

Practice location

7700 NE 26th Ave
Vancouver, WA 98665-0672

Call (360) 397-8228 Map

Fax (360) 353-9440

Mailing address

PO Box 2429
Longview, WA 98632-8486

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X10850 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP61346560 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1639780620

Jaynelle Kopp, SUDP's National Provider Identifier is 1639780620, issued on Aug 12, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vancouver, WA. The record was last updated on Jul 29, 2025.