Individual
BRIAN WILLIAM KOPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. L.P.C
Contact information
Practice address
8 S 3RD AVE, HIGHLAND PARK, NJ 08904-2510
(732) 246-8439
(732) 246-8081
Mailing address
508 BEACH AVE, BRADLEY BEACH, NJ 07720-1204
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PCOO351200
NJ
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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