Provider Demographics
NPI:1114366853
Name:COOPER, WILLIAM GORDON JR (LPC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:GORDON
Last Name:COOPER
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 AMERICAN WAY
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-1802
Mailing Address - Country:US
Mailing Address - Phone:828-398-0541
Mailing Address - Fax:
Practice Address - Street 1:5 AMERICAN WAY
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-1802
Practice Address - Country:US
Practice Address - Phone:828-398-0541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-16
Last Update Date:2013-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9473101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health