Individual
JUSTINE KOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATRL-BC
Contact information
Practice address
548 S PARK ST, PORT WASHINGTON, WI 53074-2124
(262) 227-6391
Mailing address
1125 NIESEN RD, PORT WASHINGTON, WI 53074-1358
(262) 227-6391
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
67-36
WI
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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