Individual
MRS. KATIE ELISE KOPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAMFT
Contact information
Practice address
7400 METRO BLVD, 413, EDINA, MN 55439-2316
(612) 598-1414
Mailing address
3020 W 28TH ST, 4, MINNEAPOLIS, MN 55416-4369
(612) 718-1213
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891819686
—
MN
01
—
1992808844
SUPERVISORS INDIVIDUAL NPI NUMBER JANET M ANDERSON, LICSW
MN
Enumeration date
05/20/2016
Last updated
05/20/2016
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