Individual
MR. DMITRI EDWARD KOLPACOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1484 HARTNELL AVE, REDDING, CA 96002-2252
(530) 604-4309
Mailing address
336 EVERGREEN LN, YREKA, CA 96097-3203
(949) 557-9004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APCC20355
CA
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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