Individual provider · Type 1 NPI

Gary Koopman, LPC

Professional Counselor · Meridian, ID

NPI number 1548084163 Active

Practice location

2596 N Stokesberry Pl
Meridian, ID 83646-6114

Call (208) 918-1636 Map

Mailing address

6521 W Lucky Ln Apt 201
Boise, ID 83714-5475

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3961172 (ID)

Professional Counselor: Definition to come...

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About NPI 1548084163

Gary Koopman, LPC's National Provider Identifier is 1548084163, issued on Nov 11, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Meridian, ID. The record was last updated on Nov 11, 2024.