Individual provider · Type 1 NPI
Crystal Gillette Copeland
Mental Health Counselor · Fort Walton Beach, FL
NPI number
1619635273
Active
Practice location
2514 Georgetown Ln
Fort Walton Beach, FL 32547-6818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH20777 (FL) |
| Mental Health Counselor Primary | 101YM0800X | MH22502 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1619635273
Crystal Gillette Copeland's National Provider Identifier is 1619635273, issued on Dec 1, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Aug 20, 2023.