Organization
MAN IN THE MIRROR THERAPEUTIC SERVICES
Active
Parent organization
VALERIE COPELAND
Other names
Valerie Copeland
Organization subpart
Yes
Provider details
NPI number
Legal business name
VALERIE COPELAND
Authorized official
VALERIE VONCYLE COPELAND MA, LMFT (MARRIAGE AND FAMILY THERAPIST)
(919) 798-4659
Entity
Organization
Contact information
Practice address
312 W MILLBROOK RD, SUITE 137, RALEIGH, NC 27609-4389
(919) 798-4659
Mailing address
312 W MILLBROOK RD, SUITE 137, RALEIGH, NC 27609-4389
(919) 798-4659
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1499
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568805216
—
NC
Enumeration date
10/29/2013
Last updated
10/29/2013
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