Dr. Jennifer Lauren Coppola, Ph.D., LMFT
Marriage & Family Therapist in Manlius, NY. Individual provider (NPI-1).
NPI number1164054060
StatusActive
Last updated in NPPESFeb 8, 2020
Details
- NPI
- 1164054060
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jennifer Lauren Coppola
- Credential
- Ph.D., LMFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2020
- Certification date
- Feb 8, 2020
- Last updated
- Feb 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 001637 | NY | Yes |
Practice location
4500 Pewter Ln # 89Manlius, NY 13104-9707
Phone 315-414-9743
Mailing address
4641 Pauli DrManlius, NY 13104-2419
Phone 585-732-8852
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All 11 Marriage & Family Therapist providers in Manlius · All 271 providers in Manlius
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