Provider Demographics
NPI:1841645967
Name:SCHOPP, JULIA (MA, LPC)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:SCHOPP
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2544 AUTUMN FIELDS LN
Mailing Address - Street 2:
Mailing Address - City:WENTZVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63385-3071
Mailing Address - Country:US
Mailing Address - Phone:314-808-2346
Mailing Address - Fax:
Practice Address - Street 1:920 BENT OAK CT
Practice Address - Street 2:STE B
Practice Address - City:LAKE SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63367-1485
Practice Address - Country:US
Practice Address - Phone:314-808-2346
Practice Address - Fax:636-277-9293
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014031731101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional