Individual
JUSTIN R KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
123 S 27TH ST, BILLINGS, MT 59101-4200
(406) 247-3350
(406) 247-3389
Mailing address
123 S 27TH ST, BILLINGS, MT 59101-4200
(406) 247-3350
(406) 247-3389
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1227
MT
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0320501
—
MT
Enumeration date
01/21/2008
Last updated
05/26/2009
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