Individual
MRS. JENNIFER KOPEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
403 S 11TH ST STE 210, BOISE, ID 83702-6968
(208) 381-6005
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-33043
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-36754
ID
Other
Enumeration date
07/31/2015
Last updated
06/27/2023
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