GINA ALEXANDRIA KOPACKI-BIRT

DAYTONA BEACH, FL
NPI1538662630
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: FL  15644)
Enumeration Date2018-03-14
Last Update Date2018-03-14
Business Address
GINA ALEXANDRIA KOPACKI-BIRT LMHC
1220 WILLIS AVE
DAYTONA BEACH, FL 32114-2810
Phone number: 386-236-1238
Mailing Address
GINA ALEXANDRIA KOPACKI-BIRT LMHC
581 SIDNEY DR
LAKE HELEN, FL 32744-2024
Phone number:
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