Individual
GARY KOOPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2596 N STOKESBERRY PL, MERIDIAN, ID 83646-6114
(208) 918-1636
Mailing address
6521 W LUCKY LN APT 201, BOISE, ID 83714-5475
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3961172
ID
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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