Ethan Cooper, LPC

NPI 1174789119 · on the registry since 2008

Practice

Address: 2215 Langhorne Rd
Lynchburg, VA 24501
Phone: (434) 455-3044
Fax: (434) 948-4918
Organisation at this address: Horizon Behavioral Health
Central Virginia Community Services
Central Virginia Community Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 108

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-07-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia