Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 17738 | AZ |
NPI | 1003457052 |
---|---|
Provider Name | Dunya Cope |
First Address | Flagstaff, AZ 86001-3070 |
Second Address | Flagstaff, AZ 86001-3070 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2019 |
Last Update Date | 08/09/2020 |