Provider Demographics
NPI:1568796118
Name:KOPCZYNSKI, STEPHANIE SUE (LCMHC)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:SUE
Last Name:KOPCZYNSKI
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CHENELL DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301
Mailing Address - Country:US
Mailing Address - Phone:603-290-4435
Mailing Address - Fax:603-715-2121
Practice Address - Street 1:6 CHENELL DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:603-290-4435
Practice Address - Fax:603-715-2121
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor