Provider Demographics
NPI:1922012426
Name:COPELAND-WELP, JENNIFER LYNNE (MA LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LYNNE
Last Name:COPELAND-WELP
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:LYNNE
Other - Last Name:ETCHEVERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:3755 BRIARGATE BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-4194
Mailing Address - Country:US
Mailing Address - Phone:719-201-3048
Mailing Address - Fax:719-633-0467
Practice Address - Street 1:3755 BRIARGATE BLVD STE 220
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920
Practice Address - Country:US
Practice Address - Phone:719-201-3048
Practice Address - Fax:719-633-0467
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO561103T00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist