Individual provider · Type 1 NPI
Raven Tiffany Copper
Professional Counselor · Waterbury, CT
NPI number
1841044591
Active
Practice location
73 Bunker Hill Ave
Waterbury, CT 06708-2221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 7227 (CT) |
Professional Counselor: Definition to come...
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About NPI 1841044591
Raven Tiffany Copper's National Provider Identifier is 1841044591, issued on Apr 17, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Waterbury, CT. The record was last updated on Apr 17, 2024.