Individual
JUSTIN POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11010 PRAIRIE LAKES DR, SUITE 350, EDEN PRAIRIE, MN 55344-3884
(952) 746-2522
(952) 746-0887
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(952) 746-2522
(952) 746-0887
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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