Healthcare Provider Details

I. General information

NPI: 1710581103
Provider Name (Legal Business Name): DANIELLE RENEE KROPER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2020
Last Update Date: 12/01/2020
Certification Date: 12/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 MORGAN ST
RAYVILLE LA
71269-2576
US

IV. Provider business mailing address

338 WILLOW CREEK DR
CALHOUN LA
71225-4107
US

V. Phone/Fax

Practice location:
  • Phone: 318-728-2000
  • Fax:
Mailing address:
  • Phone: 318-547-3906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7615
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: