Individual
ANGELA NICOLE KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
311 E MARKET ST, LIMA, OH 45801-4535
(419) 222-4474
Mailing address
311 E MARKET ST, LIMA, OH 45801-4535
(419) 222-4474
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
164183
OH
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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