Individual
MRS. NICOLE KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
112 12TH AVE RD, NAMPA, ID 83686-5011
(208) 465-5433
(208) 466-5802
Mailing address
112 12TH AVE RD, NAMPA, ID 83686-5011
(208) 871-3749
(208) 466-5802
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5929
ID
101YM0800X
Mental Health Counselor
Primary
LPC-5929
ID
Other
Enumeration date
08/17/2015
Last updated
11/12/2021
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