Individual provider · Type 1 NPI

Ethan R. Cooper, LPC

Professional Counselor · Lynchburg, VA

NPI number 1174789119 Active

Practice location

2215 Langhorne Rd
Lynchburg, VA 24501-1121

Fax (434) 948-4918

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701004381 (VA)

Professional Counselor: Definition to come...

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About NPI 1174789119

Ethan R. Cooper, LPC's National Provider Identifier is 1174789119, issued on Jul 30, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lynchburg, VA. The record was last updated on Jul 30, 2008.