Individual provider · Type 1 NPI

Jean Coppernoll, PCPRC

Peer Specialist · Twin Falls, ID

NPI number 1912874181 Active

Practice location

226 Martin St
Twin Falls, ID 83301-4542

Call (208) 543-7230 Map

Mailing address

18600 SE Mcloughlin Blvd
Milwaukie, OR 97267-6723

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X13189 (ID)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1912874181

Jean Coppernoll, PCPRC's National Provider Identifier is 1912874181, issued on Oct 21, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Twin Falls, ID. The record was last updated on Oct 21, 2025.