Provider Demographics
NPI:1760797823
Name:DEBRA J KOOPMANN & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:DEBRA J KOOPMANN & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:KOOPMANN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:630-673-5667
Mailing Address - Street 1:1288 RICKERT DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-0951
Mailing Address - Country:US
Mailing Address - Phone:630-673-5667
Mailing Address - Fax:630-717-1165
Practice Address - Street 1:1288 RICKERT DR
Practice Address - Street 2:SUITE 220
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-0951
Practice Address - Country:US
Practice Address - Phone:630-673-5667
Practice Address - Fax:630-717-1165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-13
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0073791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty