Individual
DANIEL J COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CAADC
Contact information
Practice address
100 YEARSLEY MILL RD, MEDIA, PA 19063-5593
(484) 227-1523
Mailing address
100 YEARSLEY MILL RD, MEDIA, PA 19063-5593
(484) 227-1523
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
PC014605
PA
101YP2500X
Professional Counselor
Primary
PC014605
PA
Other
Enumeration date
04/09/2021
Last updated
11/03/2024
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