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Individual

ANNA VENECIA KOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7601 STONERIDGE DR, PLEASANTON, CA 94588-4501
(925) 847-5100
Mailing address
2136 SE ANKENY ST, APT. 2, PORTLAND, OR 97214-1670
(310) 343-9872

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/06/2016
Last updated
10/12/2020
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