person
Samantha Faith Kopack, LCPC
Mental Health Counselor in Portland, Maine
NPI 1740566744

Samantha Faith Kopack is a Mental Health Counselor based in Portland, ME and is specialized in Mental Health. Samantha Faith Kopack practices in Portland, ME and has the professional credentials of LCPC. The NPI Number for Samantha Faith Kopack is 1740566744 and holds a License No. (Maine).

The current practice location address for Samantha Faith Kopack is 901 Washington Ave Ste 100, Portland, ME and can be reached out via phone at 207-871-1200 and via fax at 207-871-1232.

Location: 901 Washington Ave Ste 100, Portland, ME, 04103-2842
person
Provider Profile Details
NPI Number
1740566744
Provider Name
Samantha Faith Kopack
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
901 Washington Ave Ste 100, Portland, ME, 04103-2842
Phone Number
207-871-1200
Fax Number
207-871-1232
Provider Enumeration Date
10/24/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
901 Washington Ave Ste 100
City
State
Zip
04103-2842
Phone Number
207-871-1200
Fax Number
207-871-1232
person
Provider Business Mailing Address Details
Address
901 Washington Ave Ste 100
City
State
Zip
04103-2842
Phone Number
207-871-1200
Fax Number
207-871-1232
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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