Individual
DONNA COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
704 N OAK AVE, ROOM 20, ADA, OK 74820-3267
(580) 332-3001
Mailing address
704 N OAK AVE, ROOM 20, ADA, OK 74820-3267
(580) 332-3001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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