Individual
JACQUELINE COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 A HWY 96, WARNER ROBINS, GA 31088
(478) 988-1222
Mailing address
1310 JOHN CLERKLEY DR, PERRY, GA 31069-3113
(478) 287-8249
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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