Provider Demographics
NPI:1568853562
Name:KOPEC, DANIELA L (LPC)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:L
Last Name:KOPEC
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DANIELA
Other - Middle Name:
Other - Last Name:DALKOVSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:230 E MARYDALE AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-7648
Mailing Address - Country:US
Mailing Address - Phone:907-260-3691
Mailing Address - Fax:907-260-3697
Practice Address - Street 1:230 E MARYDALE AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669-7648
Practice Address - Country:US
Practice Address - Phone:907-260-3691
Practice Address - Fax:907-260-3697
Is Sole Proprietor?:No
Enumeration Date:2015-02-11
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK494101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional