Raven Tiffany Copper
Counselor, Professional in Waterbury, CT. Individual provider (NPI-1).
NPI number1841044591
StatusActive
Last updated in NPPESApr 17, 2024
Details
- NPI
- 1841044591
- Entity type
- Individual (NPI-1)
- Name
- Raven Tiffany Copper
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2024
- Certification date
- Apr 17, 2024
- Last updated
- Apr 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 7227 | CT | Yes |
Other names
- Raven Tiffany Saddler (Former Name)
Practice location
73 Bunker Hill AveWaterbury, CT 06708-2221
Phone 203-706-2260
Mailing address
73 Bunker Hill AveWaterbury, CT 06708-2221
Phone 203-706-2260
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