| Doctor Name: | MR. GERALD P COPAS |
| NPI Number: | 1205853264 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPCC |
| License Number: | E-0002761 |
| Business Practice Address: | 416 Xenia Ave Yellow Springs, OH - 453871836 |
| Business Phone Number: | 9377679171 |
| Business Fax Number: | 9377679175 |
| Mailing Address: | 416 Xenia Ave, YELLOW SPRINGS |
| State: | OH |
| Postal Code: | 453871836 |
| Phone Number: | 9377679171 |
| Fax Number: | 9377679175 |
| NPI Enumeration Date: | 07/16/2006 |
| NPI Last Update Date: | 03/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | E-0002761 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |