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NPI Code Detail

MEDICARE: MR. DONALD KOPNICKY LPC

MEDICARE:  MR. DONALD  KOPNICKY  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor68713TX

General Provider Information

NPI Number : 1386055937
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DONALD KOPNICKY LPC
Provider Business Mailing Address
First Line : 401 N LOOP 336 W
Second Line : A
City : CONROE
State : TX
Zip : 77301-1200
Country : US
Telephone Number : 713-878-8500
Fax Number : 936-242-6254
Provider Business Practice Location Address
First Line : 401 N LOOP 336 W
Second Line : A
City : CONROE
State : TX
Zip : 77301-1200
Country : US
Telephone Number : 713-878-8500
Fax Number : 936-242-6254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2014
Last Update Date : 05/16/2014

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Directions to “ MR. DONALD KOPNICKY LPC” Practice Location

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