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JASON ALEXANDER KOPEN LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1598929952

Individual Registrant:
 JASON ALEXANDER KOPEN LCSW
Gender: M
Sole Proprietor

Location and contact information for practice:
51 LYNNWOOD LN  BLACK HAWK, CO 80422-4545 US
Tel: 303-642-3597  Fax: --

Contact information for business:
51 LYNNWOOD LN  BLACK HAWK, CO 80422-4545 US
Tel: 303-642-3597  Fax: --

Registration Information:
NPI: 1598929952
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CO647

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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