Provider Demographics
NPI:1760865059
Name:KOOPMAN, DAVID (MA, LPC, LAC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:KOOPMAN
Suffix:
Gender:M
Credentials:MA, LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 BRYANT ST STE 550
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4151
Mailing Address - Country:US
Mailing Address - Phone:720-989-5909
Mailing Address - Fax:
Practice Address - Street 1:2727 BRYANT ST STE 550
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-4151
Practice Address - Country:US
Practice Address - Phone:720-989-5909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-03
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0010992101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health