Chalice Kopacki's National Provider Identifier (NPI) Details
Chalice Kopacki, LMSW, MPA
NPI: 1972922516
Enumeration Date: 2014-04-10
Last updated: 2018-09-06
Sole Proprietor: NO
Status: active
Postal Address: 4020 COPPER VW STE 104, TRAVERSE CITY, MI
Phone: 231-421-6921
Primary Practice Address: 3785 BAY RD, SAGINAW, MI
Practice's phone: 989-791-2455