Individual
MS. BRANDI RHEA KELLY COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LPC, CADC
Contact information
Practice address
624 NW 5TH ST, MOORE, OK 73160-3924
(405) 799-3379
(405) 799-0912
Mailing address
624 NW 5TH ST, MOORE, OK 73160-3924
(405) 799-3379
(405) 799-0912
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/04/2010
Last updated
09/06/2016
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