person
Ms. Marisa Kopa, LMSW
Mental Health Counselor in Middletown, New York
NPI 1376142653

Marisa Kopa is a Mental Health Counselor based in Middletown, NY and is specialized in Mental Health. Marisa Kopa practices in Middletown, NY and has the professional credentials of LMSW. The NPI Number for Marisa Kopa is 1376142653 and holds a License No. 110334-01 (New York).

The current practice location address for Marisa Kopa is 15 Fortune Rd W, Middletown, NY and can be reached out via phone at 845-343-5556 and via fax at 845-343-3341.

Location: 15 Fortune Rd W, Middletown, NY, 10941-1625
person
Provider Profile Details
NPI Number
1376142653
Provider Name
Marisa Kopa
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
15 Fortune Rd W, Middletown, NY, 10941-1625
Phone Number
845-343-5556
Fax Number
845-343-3341
Provider Enumeration Date
10/19/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
UNKNOWN 01 UNKNOWN
institution
Provider Business Practice Location Address Details
Address
15 Fortune Rd W
City
State
Zip
10941-1625
Phone Number
845-343-5556
Fax Number
845-343-3341
person
Provider Business Mailing Address Details
Address
15 Fortune Rd W
City
State
Zip
10941-1625
Phone Number
845-343-5556
Fax Number
845-343-3341
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
110334-01 (New York)
Definition
Definition to come...
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