NPI 1073555405 · live from the CMS NPI Registry
Woodson Lee Coplen, M.Ed., LMFT,LADC/MH
Counselor, Mental Health in Shawnee, OK. National Provider Identifier 1073555405, active.
NPI record
| NPI | 1073555405 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 420 N Kickapoo Ave, Shawnee, OK 74801 |
| Practice phone | 405-623-9017 |
| Mailing address | Po Box 1582, Shawnee, OK 74802 |
| Enumerated | June 11, 2006 |
| Last updated | March 10, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 311 (OK) |
| Counselor, Mental Health primary | 101YM0800X | 412 (OK) |
| Marriage & Family Therapist | 106H00000X | 412 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.