Individual
JANELL KAYE KOPKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCAR
Contact information
Practice address
1213 E ISABELLA RD, MIDLAND, MI 48640-8344
(989) 492-2023
Mailing address
133 N SAGINAW RD, MIDLAND, MI 48640-3350
(989) 631-0241
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
MI
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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