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Crystal Gillette Copeland Valid NPI

Individual provider · Mental Health Counselor · Fort Walton Beach, FL

NPI
1619635273
Type
Individual (Type 1)
Primary specialty
Mental Health Counselor (Counselor)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
101YM0800X
License number
MH22502 (FL)
Sex
Female
Sole proprietor
Yes
Enumerated
2021-12-01
Last updated
2023-08-20
Practice location
2514 Georgetown Ln
Fort Walton Beach, FL 32547-6818
(850) 461-8340

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