Individual
JASMINE IRENE COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
648 INDEPENDENCE PKWY STE 300, CHESAPEAKE, VA 23320-5208
(757) 776-0790
Mailing address
14002 E 21ST ST STE 1200, TULSA, OK 74134-1409
(800) 331-9175
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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