MR. LARRY COPP M.S. CADC NPI 1750740544

NPI Information

NPI: 1750740544
Provider Name: MR. LARRY COPP, M.S., CADC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
2148 VADALABENE DR
MARYVILLE, IL
ZIP 62062
Phone: (618) 288-3100
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MR. Larry Copp, M.S., CADC is a counselor in Maryville, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Larry Copp, M.S., CADC NPI is 1750740544. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2148 VADALABENE DR
MARYVILLE, IL
ZIP 62062-632
Phone: (618) 288-3100
Fax: (618) 288-2278

The enumeration date for this NPI number is 2/22/2016 and was last updated on 2/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		20037	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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