NPI 1023167590

Diane Kopp, LPC

Practitioner Professional Counselor Benton Harbor, MI

Practice location

Address: 1850 Colfax Ave, Benton Harbor, MI 49022-6753
Phone: (269) 926-6199
Fax: (269) 926-6780

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 6401005813 (MI)

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Registry record

NPI: 1023167590
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.