Provider Demographics
NPI:1487003380
Name:KOPROWICZ, CONSTANCE (BA, CACP)
Entity Type:Individual
Prefix:MS
First Name:CONSTANCE
Middle Name:
Last Name:KOPROWICZ
Suffix:
Gender:F
Credentials:BA, CACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5157 INLET GARDEN CT
Mailing Address - Street 2:UNIT 6D
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-5232
Mailing Address - Country:US
Mailing Address - Phone:303-204-5716
Mailing Address - Fax:
Practice Address - Street 1:2404 WISE RD
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-5521
Practice Address - Country:US
Practice Address - Phone:843-488-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)