Individual
MS. INGER SUSANNE KOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADCA
Contact information
Practice address
8 OLD MILL RD, ELLSWORTH, ME 04605
(207) 667-3210
Mailing address
PO BOX 958, ELLSWORTH, ME 04605-0958
(207) 667-3210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ME 322763
ME
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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