| Toni Jo Coppa, LCPC-C | |
| 
					1265 Roosevelt Trl, Raymond, ME 04071-6608  | |
| (413) 977-9592 | |
| Not Available | 
| Full Name | Toni Jo Coppa | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 1265 Roosevelt Trl, Raymond, Maine | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629789086 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | XL6869 (Maine) | Primary | 
| Entity Name | Cornerstone Behavioral Healthcare Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1215102850 PECOS PAC ID: 7214097740 Enrollment ID: O20081113000616  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Toni Jo Coppa, LCPC-C 1265 Roosevelt Trl, Raymond, ME 04071-6608 Ph: (413) 977-9592  | Toni Jo Coppa, LCPC-C 1265 Roosevelt Trl, Raymond, ME 04071-6608 Ph: (413) 977-9592  | 
Miss Katie Elizabeth Hunter I, C-LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Shady Ln, Raymond, ME 04071 Phone: 207-807-7501  | |
Mr. Eric William Brown, LCPC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 33 Twin Pines Rd, Raymond, ME 04071 Phone: 207-899-5601  | |
Mary-therese C Duffy, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 157 Valley Rd, Raymond, ME 04071 Phone: 207-712-6200  | |
Nichelle Gardner, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 285 Raymond Hill Rd, Raymond, ME 04071 Phone: 207-671-7804  | |
Andrew W Jarman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1288 Roosevelt Trl, Suite 5b, Raymond, ME 04071 Phone: 207-624-1132  | |
Mrs. Jennifer Lee Goan, LSW-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 70 Cape Road, Raymond, ME 04071 Phone: 207-591-9107  |