Organization
KOPAZ COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS KOPAZNA LPC (OWNER/THERAPIST)
(203) 864-9070
Entity
Organization
Contact information
Practice address
605 WASHINGTON AVE, NORTH HAVEN, CT 06473-1123
(203) 864-9070
Mailing address
185 ATWATER ST, WEST HAVEN, CT 06516-5311
(203) 864-9070
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
003070
CT
101YM0800X
Mental Health Counselor
003070
CT
101YP2500X
Professional Counselor
Primary
003070
CT
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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