Doctor Name: | MISS JENNIFER CHRISTINE COPELAND |
NPI Number: | 1003251521 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, NCC |
License Number: | PC005879 |
Business Practice Address: | 135 E 38th St Erie, PA - 165041559 |
Business Phone Number: | 8148602000 |
Business Fax Number: | 8148602110 |
Mailing Address: | 135 E 38th St, ERIE |
State: | PA |
Postal Code: | 165041559 |
Phone Number: | 8148602000 |
Fax Number: | 8148602110 |
NPI Enumeration Date: | 05/10/2013 |
NPI Last Update Date: | 12/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC005879 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |