Provider Information for 1568755742
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Ms. JAMIE HOLDMAN KOPP LMHC
Sex: Female
NPI: 1568755742
Last Updated: 2024-10-21
Certification Date: 2024-10-21
Certification Date: 2024-10-21
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1568755742 | ||||||||||||
| Enumeration Date | 2011-05-22 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 6940 ROUNDLEAF DR JACKSONVILLE, FL 32258-5505 United States Phone: 904-923-3605 | Fax:904-431-3542 | ||||||||||||
| Primary Practice Address | 6940 ROUNDLEAF DR JACKSONVILLE, FL 32258-5505 United States Phone: 904-923-3605 | Fax: | ||||||||||||
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