Individual
BRENDA COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 COUNTRY LAKE LN, THOMASVILLE, GA 31757-2517
(229) 200-6511
Mailing address
50 COUNTRY LAKE LN, THOMASVILLE, GA 31757-2517
(229) 200-6511
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1020
GA
106H00000X
Marriage & Family Therapist
Primary
MFT001043
GA
Other
Enumeration date
08/05/2010
Last updated
04/27/2012
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