| Coping 4 Kids | |
|
900 N Walnut St. Breese IL 62230 | |
| (618) 830-5312 | |
| Not Available |
| Full Name | Coping 4 Kids |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 900 N Walnut St., Breese, Illinois |
| Authorized Official Name and Position | Kris Fulkerson (FOUNDER/PRESIDENT) |
| Authorized Official Contact | 6188305312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coping 4 Kids 900 N Walnut St. Breese IL 62230 Ph: (618) 830-5312 | Coping 4 Kids 900 N Walnut St. Breese IL 62230 Ph: (618) 830-5312 |
| NPI Number | 1841738457 |
|---|---|
| Provider Enumeration Date | 02/02/2017 |
| Last Update Date | 02/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841738457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.013537 (Illinois) | Primary |
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