Individual
JULIE KOPF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 S PROSPECT AVE, PARK RIDGE, IL 60068-5344
(773) 592-9866
Mailing address
1301 S PROSPECT AVE, PARK RIDGE, IL 60068-5344
(773) 592-9866
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
180009418
IL
Other
Enumeration date
09/27/2020
Last updated
09/27/2020
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