Provider Demographics
NPI:1023279296
Name:KOPCO, WHITNEY A (LPC)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:A
Last Name:KOPCO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:A
Other - Last Name:HALLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:825 EDEN RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4713
Mailing Address - Country:US
Mailing Address - Phone:717-462-7003
Mailing Address - Fax:
Practice Address - Street 1:825 EDEN RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4713
Practice Address - Country:US
Practice Address - Phone:717-462-7003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005658101YM0800X
FLMH10946101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL007332600Medicaid