Individual
JACQUE RAIN COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 AUGUSTA WEST PKWY STE 1B, AUGUSTA, GA 30909-1808
(706) 826-2770
(706) 690-8084
Mailing address
1212 AUGUSTA WEST PKWY STE 1B, AUGUSTA, GA 30909-1808
(706) 826-2770
(706) 690-8084
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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