National Provider Identifier

Daniel A. Cooper, LMHC

Daniel A. Cooper, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Ithaca, NY and a listed phone number of (774) 901-7850.

NPI 1871889402Ithaca, NYMental Health Counselor

Profile Overview

NPI
1871889402
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
June 22, 2011
Last Updated
November 10, 2020

Practice Location

  • 102 W. Jay St
  • Ithaca, NY 14850-3232

Phone: (774) 901-7850

Mailing Address

  • PO Box 854
  • Ithaca, NY 14851-0854

Specialties

  • Mental Health Counselor (101YM0800X)
  • Mental Health Counselor (101YM0800X)
  • Professional Counselor (101YP2500X)
Full Record
NPI
1871889402
Entity Type
Individual
Last Name
Cooper
First Name
Daniel
Middle Name
A.
Name Prefix
Mr.
Credential
LMHC
Mailing Street Address
PO Box 854
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14851-0854
Mailing Country
US
Practice Street Address
102 W. Jay St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-3232
Practice Country
US
Practice Phone
(774) 901-7850
Enumeration Date
June 22, 2011
Last Updated
November 10, 2020
Sex
Male
Sole Proprietor
Yes
Certification Date
November 10, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X), Mental Health Counselor (101YM0800X), Professional Counselor (101YP2500X)