Individual
ANN MARIE MONICA KOPEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 3RD AVE, 315, KINGSTON, PA 18704-5816
(570) 430-0521
Mailing address
PO BOX 4, LOPEZ, PA 18628
(570) 430-0521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CW012145
PA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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