Provider Demographics
NPI:1376670844
Name:THE CLINICAL PASTORAL COUNSELING PROGRAM OF KENT AND SUSSEX COUNTIES
Entity Type:Organization
Organization Name:THE CLINICAL PASTORAL COUNSELING PROGRAM OF KENT AND SUSSEX COUNTIES
Other - Org Name:DAYBREAK COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAINEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:LPCMH
Authorized Official - Phone:302-632-8842
Mailing Address - Street 1:PO BOX 299
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-0299
Mailing Address - Country:US
Mailing Address - Phone:302-632-8842
Mailing Address - Fax:302-422-3360
Practice Address - Street 1:PINE AND POPLAR STREE
Practice Address - Street 2:ST. JOHNS UNITED METHODIST CHURCH
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-0299
Practice Address - Country:US
Practice Address - Phone:302-632-8842
Practice Address - Fax:302-422-3360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000288101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty