Provider Demographics
NPI:1891518791
Name:COPPS, DAWN MICHELLE (LPC)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:MICHELLE
Last Name:COPPS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3313 E WATER ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-2519
Mailing Address - Country:US
Mailing Address - Phone:971-570-9132
Mailing Address - Fax:
Practice Address - Street 1:1050 E RIVER RD STE 202
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-5736
Practice Address - Country:US
Practice Address - Phone:971-570-9132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-23447101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health